| |
602 Chase Ave Cordova AK 99574-0160 | |
(907) 424-8000 | |
(907) 424-8116 |
Full Name | |
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Speciality | Family Medicine |
Location | 602 Chase Ave, Cordova, Alaska |
Authorized Official Name and Position | Hannah Joann Sanders (CEO) |
Authorized Official Contact | 9074248200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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602 Chase Ave Cordova AK 99574-0160 Ph: (907) 424-8000 | 602 Chase Ave Cordova AK 99574-0160 Ph: (907) 424-8000 |
NPI Number | 1225266588 |
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Provider Enumeration Date | 06/25/2009 |
Last Update Date | 02/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225266588 | NPI | - | NPPES |
HS07LT | Medicaid | AK | |
HS07OP | Medicaid | AK | |
HS07SB | Medicaid | AK | |
HS07IP | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |