NPI 1043975642 · live from the CMS NPI Registry
Vernon Calden Friday
Community Health Worker in Bethel, AK. National Provider Identifier 1043975642, active.
NPI record
| NPI | 1043975642 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Community Health Worker 172V00000X |
| Practice location | 700 Chief Eddie Hoffman Highway, Bethel, AK 99559 |
| Practice phone | 907-543-6100 |
| Mailing address | Po Box 287, Bethel, AK 99559 |
| Enumerated | November 8, 2021 |
| Last updated | November 9, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — (AK) |
| Community Health Worker primary | 172V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.