Dahl Memorial Clinic | |
350 14th Avenue Skagway AK 99840 | |
(907) 983-2255 | |
(907) 983-2793 |
Full Name | Dahl Memorial Clinic |
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Speciality | Clinic/Center |
Location | 350 14th Avenue, Skagway, Alaska |
Authorized Official Name and Position | Estelita Fielding (ADMINISTRATIVE MANAGER) |
Authorized Official Contact | 9079832255 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dahl Memorial Clinic Po Box 537 Skagway AK 99840-0537 Ph: (907) 983-2255 | Dahl Memorial Clinic 350 14th Avenue Skagway AK 99840 Ph: (907) 983-2255 |
NPI Number | 1063574200 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 0244227726 |
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Medicare Enrollment ID | O20040427001153 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063574200 | NPI | - | NPPES |
021836 | Other | AK | MEDICARE FQHC |
153026 | Other | AK | MEDICARE PART B |
1029911 | Medicaid | AK |
Provider Name | Ann Ehret |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386672400 PECOS PAC ID: 3476649740 Enrollment ID: I20071017000842 |
Provider Name | Marjorie Ackerman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770974008 PECOS PAC ID: 1557688694 Enrollment ID: I20150328000330 |
Provider Name | Nicholas Newbury |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1417214933 PECOS PAC ID: 1153611058 Enrollment ID: I20160606001573 |
Provider Name | Karen Lynn Lewis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306194576 PECOS PAC ID: 5890937726 Enrollment ID: I20190408002452 |
Provider Name | Nicholas Rosenfeld |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750701793 PECOS PAC ID: 0547487712 Enrollment ID: I20200116002358 |
Provider Name | Thomas H Wendel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790720258 PECOS PAC ID: 0345240255 Enrollment ID: I20200416003489 |
Provider Name | Kathleen C Rooney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932351871 PECOS PAC ID: 3173686094 Enrollment ID: I20220412002785 |
Provider Name | Tracey L Carter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306247796 PECOS PAC ID: 4284926254 Enrollment ID: I20220817000613 |
Provider Name | Michelle J Hinton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346717428 PECOS PAC ID: 2466794961 Enrollment ID: I20220823002386 |
Provider Name | Brittany Chambers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871851022 PECOS PAC ID: 5799948873 Enrollment ID: I20230109001183 |
Provider Name | Laura Brewer James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972881175 PECOS PAC ID: 5193983427 Enrollment ID: I20230510002713 |
Provider Name | Jason B Deluisa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629200894 PECOS PAC ID: 4486791548 Enrollment ID: I20230712001972 |
Provider Name | Kira Kristina Lathrop |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1609223809 PECOS PAC ID: 4880042704 Enrollment ID: I20231201002486 |
Provider Name | Jodi Bauer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376889279 PECOS PAC ID: 9830336619 Enrollment ID: I20240108006232 |
Provider Name | Nicolette Broby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235641382 PECOS PAC ID: 0345500674 Enrollment ID: I20240131005123 |
Provider Name | Colleen Slate |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922246503 PECOS PAC ID: 0547317125 Enrollment ID: I20240221003910 |