| Eastern Aleutian Tribes, Inc | |
|
172 Main St Sand Point AK 99661 | |
| (907) 383-3151 | |
| (907) 383-6074 |
| Full Name | Eastern Aleutian Tribes, Inc |
|---|---|
| Speciality | Community Health Worker |
| Location | 172 Main St, Sand Point, Alaska |
| Authorized Official Name and Position | Michael Christensen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9072771440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Aleutian Tribes, Inc 3380 C St. Suite 100 Anchorage AK 99503-3949 Ph: (907) 277-1440 | Eastern Aleutian Tribes, Inc 172 Main St Sand Point AK 99661 Ph: (907) 383-3151 |
| NPI Number | 1033292693 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 10/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033292693 | NPI | - | NPPES |
| CL1391 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Alaska) | Secondary |
| 172V00000X | Community Health Worker | (Alaska) | Primary |
| 261QC1500X | Clinic/center - Community Health | (Alaska) | Secondary |