Anesia Anahonak Moonin Clinic | |
63998 Graham Road Unit #3 Port Graham AK 99603 | |
(907) 284-2241 | |
(907) 284-2277 |
Full Name | Anesia Anahonak Moonin Clinic |
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Speciality | Clinic/center - Community Health |
Location | 63998 Graham Road Unit #3, Port Graham, Alaska |
Authorized Official Name and Position | Kelley Baker (HEALTH SERVICES DIVISION DIRECTOR) |
Authorized Official Contact | 9073340148 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anesia Anahonak Moonin Clinic 1840 Bragaw St Ste 110 Anchorage AK 99508-3463 Ph: (907) 562-4155 | Anesia Anahonak Moonin Clinic 63998 Graham Road Unit #3 Port Graham AK 99603 Ph: (907) 284-2241 |
NPI Number | 1902077837 |
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Provider Enumeration Date | 03/19/2008 |
Last Update Date | 12/13/2021 |
Identifier | Type | State | Issuer |
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1902077837 | NPI | - | NPPES |
1581154 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |