| Benteh Nuutah Four Direction | |
|
3223 E Palmer Wasilla Hwy Wasilla AK 99654-7277 | |
| (907) 729-6799 | |
| (907) 729-8607 |
| Full Name | Benteh Nuutah Four Direction |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3223 E Palmer Wasilla Hwy, Wasilla, Alaska |
| Authorized Official Name and Position | Cristina Cayanong Ranon-bacod (SUPERVISOR) |
| Authorized Official Contact | 9077296799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benteh Nuutah Four Direction 3223 E Palmer Wasilla Hwy Wasilla AK 99654-7277 Ph: (907) 729-6799 | Benteh Nuutah Four Direction 3223 E Palmer Wasilla Hwy Wasilla AK 99654-7277 Ph: (907) 729-6799 |
| NPI Number | 1750052387 |
|---|---|
| Provider Enumeration Date | 09/23/2021 |
| Last Update Date | 06/29/2022 |
| Certification Date | 06/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750052387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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