| Alaska Island Community Services | |
|
Sunrise Lodge Edna Bay AK 99901 | |
| (907) 874-4700 | |
| (907) 874-4719 |
| Full Name | Alaska Island Community Services |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | Sunrise Lodge, Edna Bay, Alaska |
| Authorized Official Name and Position | Mark T Walker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9078744700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alaska Island Community Services Po Box 1231 Wrangell AK 99929-1231 Ph: (907) 874-4700 | Alaska Island Community Services Sunrise Lodge Edna Bay AK 99901 Ph: (907) 874-4700 |
| NPI Number | 1508912668 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 07/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508912668 | NPI | - | NPPES |
| RH545FQ | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Searhc Edna Bay Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Sunrise Lodge, Edna Bay, AK 99901 Phone: 907-874-4700 Fax: 907-874-4719 |