| Chickaloon Village Traditional Council | |
|
16166 North Glen Highway Mile 61.5 Glen Highway Sutton AK 99674-1105 | |
| (907) 745-0704 | |
| (907) 745-0708 |
| Full Name | Chickaloon Village Traditional Council |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 16166 North Glen Highway, Sutton, Alaska |
| Authorized Official Name and Position | Amanda Nicole Christiansen (CLINIC MANAGER) |
| Authorized Official Contact | 9077450704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chickaloon Village Traditional Council Po Box 1105 Chickaloon AK 99674-1105 Ph: (907) 745-0704 | Chickaloon Village Traditional Council 16166 North Glen Highway Mile 61.5 Glen Highway Sutton AK 99674-1105 Ph: (907) 745-0704 |
| NPI Number | 1619267937 |
|---|---|
| Provider Enumeration Date | 04/08/2011 |
| Last Update Date | 04/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619267937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (Alaska) | Primary |
Tribal- Life House Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11495 N Callison Street, Sutton, AK 99674 Phone: 907-631-7665 |