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Ninilchik Village

Ninilchik Village is a healthcare organization registered as Community Health Clinic/Center in Ninilchik, AK, holding Type 2 (organization) NPI 1609093723 since 2007. The authorized official on file is Ivan Encelewski, Executive Director.

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NPI 1609093723
Entity type Organization (Type 2)
Legal business name Ninilchik Village
Other name <Unavail>
Practice address 15765 KINGSLEY ROAD, Ninilchik, AK, 99639
Phone 9075673970
Fax 9075673948
Enumeration date 2007-04-19
Last updated in NPPES 2025-10-15

Authorized official

Name Ivan Encelewski
Title Executive Director
Phone 9075673313

Taxonomy & classification

Taxonomy code Specialty Primary License State
261QC1500X Community Health Clinic/Center Primary 296082 AK

Other identifiers

Identifier Type State Issuer
CL 2699 Medicaid AK
Copy-ready billing details
Provider: Ninilchik Village
NPI: 1609093723
Taxonomy: 261QC1500X (Community Health Clinic/Center)
Address: 15765 KINGSLEY ROAD, Ninilchik, AK, 99639

Providers at this address

NPI Name Type Specialty Location
1215155213 Mary Doty Individual Nurse Practitioner Ninilchik, AK
1669783676 Carrie Warren Individual Family Nurse Practitioner Ninilchik, AK
1457610230 Helena Bock Individual Community Health Clinic/Center Ninilchik, AK
1194388686 Judith Hubbard Individual Addiction (Substance Use Disorder) Counselor Ninilchik, AK

Verify this record

Cross-check NPI 1609093723 against the authoritative CMS record: view Ninilchik Village on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Who is the authorized official for Ninilchik Village?
NPPES lists Ivan Encelewski (Executive Director) as the authorized official for this organization.
What is the NPI number for Ninilchik Village?
The NPI for Ninilchik Village is 1609093723, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-15.