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Deactivated NPI 1790039501 Deactivated / Inactive NPI Male Practitioner

Charles Francis Redfox , PRIMARY DENTAL HEALT

Technician, Other • Emmonak, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Redfox has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 31, 2012
NPI Deactivation Date March 06, 2017
Total Practice Duration ~5 Years of Practice (2012 – 2017)

Professional Overview & Biography Verified Profile Summary

Charles Redfox, PRIMARY DENTAL HEALT was a registered Technician, Other practicing in Emmonak, AK. Throughout an active medical career spanning 5 years, Charles Redfox provided care at the practice location at 246 KWIGUK STREET until profile deactivation on 2017-03-06.

Practice Location & Contact Primary Location

Practice Address

246 Kwiguk Street
Emmonak Sub-Regional Clinic

Emmonak, AK 995810246

Telephone 9079493500
Fax 9079493540
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Emmonak, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Emmonak, AK (178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Kimberly Moore

Community Health Worker

NPI 1003432618
Travis Kassaiuli

Community Health Worker

NPI 1528563608
Stella Leopold

Community Health Worker

NPI 1841539871
Laurentia Redfox

Community Health Worker

NPI 1891219655
Wassilie Tinker

Community Health Worker

NPI 1891452629

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 06, 2017

Record deactivated on March 06, 2017

NPI Profile Active October 31, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 31, 2012

Registered at 246 KWIGUK STREET, EMMONAK SUB-REGIONAL CLINIC, EMMONAK, AK 995810246 (Tel: 9079493500)

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Updated Business Mailing Address October 31, 2012

Registered at P.O. BOX 528 YKHC, 246 KWIGUK STREET EMMONAK CLINIC, BETHEL, AK 995590528 (Tel: 9075436229)

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Provider Name / Credentials Updated October 31, 2012

Recorded as CHARLES REDFOX, PRIMARY DENTAL HEALT

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2012

Technician, Other

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Initial NPI Registration & Enumeration October 31, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790039501
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2012
Last Update: October 31, 2012
Deactivation Date: March 06, 2017

Mailing Address

P.o. Box 528 Ykhc, 246 Kwiguk Street Emmonak Clinic

Bethel, AK 995590528

Phone: 9075436229

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.