| Hoonah Indian Association | |
|
568 Ravin Drive Hoonah AK 99829-0602 | |
| (907) 945-3235 | |
| (907) 945-3239 |
| Full Name | Hoonah Indian Association |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 568 Ravin Drive, Hoonah, Alaska |
| Authorized Official Name and Position | Laura Brewer (LEAD PROVIDER) |
| Authorized Official Contact | 9079453235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hoonah Indian Association Po Box 602 Hoonah AK 99829-0602 Ph: (907) 945-3235 | Hoonah Indian Association 568 Ravin Drive Hoonah AK 99829-0602 Ph: (907) 945-3235 |
| NPI Number | 1639249683 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639249683 | NPI | - | NPPES |
| CL2382 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | 1505 (Alaska) | Primary |