| Tok Medical Clinic Tmc | |
|
Mile Post 1314.5 Alaska Hwy. Tok AK 99780 | |
| (907) 822-3203 | |
| Not Available |
| Full Name | Tok Medical Clinic Tmc |
|---|---|
| Speciality | Clinic/Center |
| Location | Mile Post 1314.5 Alaska Hwy., Tok, Alaska |
| Authorized Official Name and Position | Steve Gallagher (CEO) |
| Authorized Official Contact | 9074148055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tok Medical Clinic Tmc Po Box 5 Glennallen AK 99588-0589 Ph: (907) 822-3203 | Tok Medical Clinic Tmc Mile Post 1314.5 Alaska Hwy. Tok AK 99780 Ph: (907) 822-3203 |
| NPI Number | 1659956449 |
|---|---|
| Provider Enumeration Date | 03/12/2021 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 4688587348 |
|---|---|
| Medicare Enrollment ID | O20240320001763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659956449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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