| Tribal- Indian Creek Health Center | |
|
101 Indian Creek Road Tyonek AK 99682 | |
| (907) 583-2461 | |
| Not Available |
| Full Name | Tribal- Indian Creek Health Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 101 Indian Creek Road, Tyonek, 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 |
|---|---|
| Tribal- Indian Creek Health Center Po Box 35198 Seattle WA 98124-5198 Ph: () - | Tribal- Indian Creek Health Center 101 Indian Creek Road Tyonek AK 99682 Ph: (907) 583-2461 |
| NPI Number | 1609232040 |
|---|---|
| Provider Enumeration Date | 01/14/2016 |
| Last Update Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609232040 | NPI | - | NPPES |
| 1643601 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 20467 (Alaska) | Primary |
Native Village Of Tyonek Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 C Street, Tyonek, AK 99682 Phone: 907-583-2461 Fax: 907-583-2155 |