Alaska Island Community Services | |
102 Harpoon Way Coffman Cove AK 99929 | |
(907) 874-4700 | |
(907) 874-4719 |
Full Name | Alaska Island Community Services |
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Speciality | Clinic/center - Community Health |
Location | 102 Harpoon Way, Coffman Cove, Alaska |
Authorized Official Name and Position | M T Walker (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9078744700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alaska Island Community Services Po Box 1231 Wrangell AK 99929-1231 Ph: (907) 874-4700 | Alaska Island Community Services 102 Harpoon Way Coffman Cove AK 99929 Ph: (907) 874-4700 |
NPI Number | 1689729980 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 07/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689729980 | NPI | - | NPPES |
RH548FQ | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Searhc Aics Coffman Cove Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Nw Kodiak Dr, Coffman Cove, AK 99918 Phone: 907-874-4700 Fax: 907-874-4719 |