| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 508 Upland St, Kenai, Alaska |
| Authorized Official Name and Position | Greg Burnett (FINANCE DIRECTOR) |
| Authorized Official Contact | 9073357200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 988 Kenai AK 99611-0988 Ph: (907) 335-7500 | 508 Upland St Kenai AK 99611-8026 Ph: (907) 335-7500 |
| NPI Number | 1295972677 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295972677 | NPI | - | NPPES |
| 021855 | Other | AK | FQHC CERTIFICATION NUMBER |
| DDG020 | Medicaid | AK |
K-beach Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 36892 Mallard Rd, Kenai, AK 99611 Phone: 907-283-9210 Fax: 907-283-3184 | |
Franklin Todd Wortham Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10767 Kenai Spur Hwy Ste A, Kenai, AK 99611 Phone: 907-252-1673 |