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207 East 2nd Street Nenana AK 99760 | |
(907) 832-5557 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 207 East 2nd Street, Nenana, Alaska |
Authorized Official Name and Position | Traci Boschert (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9078325557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 159 207 E. 2nd St. Nenana AK 99760-0159 Ph: (907) 832-5557 | 207 East 2nd Street Nenana AK 99760 Ph: (907) 832-5557 |
NPI Number | 1104951615 |
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Provider Enumeration Date | 02/23/2007 |
Last Update Date | 08/09/2007 |
Identifier | Type | State | Issuer |
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1104951615 | NPI | - | NPPES |
MH2232 | Medicaid | AK | |
DA1137 | Medicaid | AK |