Eastern Aleutian Tribes, Inc. | |
40 Main Street Nelson Lagoon AK 99571 | |
(907) 989-2202 | |
(907) 277-1436 |
Full Name | Eastern Aleutian Tribes, Inc. |
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Speciality | Clinic/center - Community Health |
Location | 40 Main Street, Nelson Lagoon, Alaska |
Authorized Official Name and Position | Jennifer Dahle Harrison (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9072771440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eastern Aleutian Tribes, Inc. 3380 C Street Suite 100 Anchorage AK 99503 Ph: (907) 277-1440 | Eastern Aleutian Tribes, Inc. 40 Main Street Nelson Lagoon AK 99571 Ph: (907) 989-2202 |
NPI Number | 1003970062 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 05/16/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003970062 | NPI | - | NPPES |
CL 3917 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (Alaska) | Primary |