Ida Shannon Charlie in Bethel - Community Health Worker
Ida Shannon Charlie - NPI 1023222783
Ida Shannon Charlie is a Community Health Worker in Bethel, Alaska. Ida Shannon Charlie practices all healthcare services and medical treatments related to Community Health Worker. The NPI Number for Ida Shannon Charlie is 1023222783. The last update date is 2022-07-21.
Ida Shannon Charlie's current location address is P.o. Box 528, Bethel, Alaska. You can contact this provider via phone number 9075436100 and fax number 9075436159. The mailing address for Ida Shannon Charlie is P.o. Box 528, Bethel, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ida Shannon Charlie |
|---|---|
| Address | P.o. Box 528, Bethel, Alaska |
| Phone Number | 9075436100 |
| Fax Number | 9075436159 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1023222783 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | P.o. Box 528 |
|---|---|
| City | Bethel |
| State | Alaska (AK) |
| Post Code | 99559 |
| Phone Number | 9075436100 |
| Fax Number | 9075436159 |
Provider's Primary Taxonomy Detail
| Speciality | Community Health Worker |
|---|---|
| Taxonomy | 172V00000X |
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Definition: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status a |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1020986 | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Ida Shannon Charlie by the Centers for Medicare & Medicaid Services?
The Ida Shannon Charlie has been assigned the NPI (National Provider Identifier) 1023222783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Ida Shannon Charlie?
The Ida Shannon Charlie is situated at P.O. Box 528, in the city of Bethel, state of AK, with the zip code 99559.
What is the Ida Shannon Charlie's specialty and taxonomy code?
The Ida Shannon Charlie's specialty is Community Health Worker, and the corresponding taxonomy code is 172V00000X.
On what date did Ida Shannon Charlie receive its 1023222783 assignment from the Centers for Medicare & Medicaid Services?
The Ida Shannon Charlie was assigned its 1023222783 on 2007-05-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Ida Shannon Charlie most recently updated or refreshed?
The details pertaining to the Ida Shannon Charlie, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.