Arch Priest Nicholas Kompkoff Clinic | |
625 Main Street Chenega AK 99574-8029 | |
(907) 573-5129 | |
(907) 573-5148 |
Full Name | Arch Priest Nicholas Kompkoff Clinic |
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Speciality | Clinic/center - Community Health |
Location | 625 Main Street, Chenega, Alaska |
Authorized Official Name and Position | Kelley Baker (HEALTH SERVICES DIVISION DIRECTOR) |
Authorized Official Contact | 9075624155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Arch Priest Nicholas Kompkoff Clinic 1840 Bragaw St Ste 110 Anchorage AK 99508-3463 Ph: (907) 562-4155 | Arch Priest Nicholas Kompkoff Clinic 625 Main Street Chenega AK 99574-8029 Ph: (907) 573-5129 |
NPI Number | 1700057676 |
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Provider Enumeration Date | 03/18/2008 |
Last Update Date | 12/15/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700057676 | NPI | - | NPPES |
1021383 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |