OrganizationActive
Ninilchik Village
NPI 1609093723 · Community Health Clinic/Center · Ninilchik, AK
Provider details
- NPI number
- 1609093723
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ivan Encelewski, Executive Director(907) 567-3313
- License
- 296082 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
15765 Kingsley Road
Ninilchik, AK 99639-9759
Phone: (907) 567-3970
Fax: (907) 567-3948
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 39368
Ninilchik, AK 99639-0368
Other names (DBA / former)
- Doing business as
- Ntc Community Clinic
- Other name
- Ninilchik Community Clinic
- Other name
- Ninilchik Community Clinic
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2025-10-15
- Certified
- 2025-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.