Provider Demographics
NPI:1356772024
Name:SEWARD COMMUNITY HEALTH CENTER, INC.
Entity type:Organization
Organization Name:SEWARD COMMUNITY HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-224-8511
Mailing Address - Street 1:PO BOX 2895
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:AK
Mailing Address - Zip Code:99664-2895
Mailing Address - Country:US
Mailing Address - Phone:907-224-2273
Mailing Address - Fax:
Practice Address - Street 1:417 FIRST AVE
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:AK
Practice Address - Zip Code:99664-2895
Practice Address - Country:US
Practice Address - Phone:907-224-2273
Practice Address - Fax:907-224-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1609821Medicaid
AKK165985Medicare PIN