| Cook Inlet Tribal Council, Inc | |
|
3600 San Jeronimo Drive Anchorage AK 99508-2869 | |
| (907) 793-3600 | |
| (907) 793-3250 |
| Full Name | Cook Inlet Tribal Council, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3600 San Jeronimo Drive, Anchorage, Alaska |
| Authorized Official Name and Position | Gloria O'neill (PRESIDENT CEO) |
| Authorized Official Contact | 9077933600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cook Inlet Tribal Council, Inc 3600 San Jeronimo Drive Anchorage AK 99508-2869 Ph: (907) 793-3600 | Cook Inlet Tribal Council, Inc 3600 San Jeronimo Drive Anchorage AK 99508-2869 Ph: (907) 793-3600 |
| NPI Number | 1437273000 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 06/29/2022 |
| Certification Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437273000 | NPI | - | NPPES |
| 1698489 | Medicaid | AK | |
| 1698487 | Medicaid | AK | |
| 1698479 | Medicaid | AK | |
| 1698483 | Medicaid | AK |
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