Tribal- The Covenant House | |
755 A St Anchorage AK 99501-3625 | |
(907) 272-1255 | |
Not Available |
Full Name | Tribal- The Covenant House |
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Speciality | Clinic/center - Multi-specialty |
Location | 755 A St, Anchorage, Alaska |
Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
Authorized Official Contact | 9077294939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tribal- The Covenant House Po Box 35198 Seattle WA 98124-5198 Ph: () - | Tribal- The Covenant House 755 A St Anchorage AK 99501-3625 Ph: (907) 272-1255 |
NPI Number | 1689021776 |
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Provider Enumeration Date | 05/18/2016 |
Last Update Date | 09/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689021776 | NPI | - | NPPES |
1658963 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 20467 (Alaska) | Primary |
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