Interior Community Health Center | |
Usibelli Spur Rd Tri Valley Community Center Healy AK 99743 | |
(907) 455-4567 | |
Not Available |
Full Name | Interior Community Health Center |
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Speciality | Clinic/Center |
Location | Usibelli Spur Rd, Healy, Alaska |
Authorized Official Name and Position | Cheryl Kilgore (EXCUTIVE DIRECTOR) |
Authorized Official Contact | 9074554567 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Interior Community Health Center 1606 23rd Ave Fairbanks AK 99701-6407 Ph: (907) 455-4567 | Interior Community Health Center Usibelli Spur Rd Tri Valley Community Center Healy AK 99743 Ph: (907) 455-4567 |
NPI Number | 1609942754 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9830001031 |
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Medicare Enrollment ID | O20031105000421 |
Identifier | Type | State | Issuer |
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1609942754 | NPI | - | NPPES |
Provider Name | Rebecca V Taylor |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821438417 PECOS PAC ID: 0143443457 Enrollment ID: I20161202002060 |
Provider Name | Matthew C Bowers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497044283 PECOS PAC ID: 7517143712 Enrollment ID: I20170828003341 |
Provider Name | Paul L Gaines |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235575762 PECOS PAC ID: 4183986268 Enrollment ID: I20210115001493 |
Provider Name | Christine Franzel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730671793 PECOS PAC ID: 5991052326 Enrollment ID: I20211105001928 |
Provider Name | Amelia J Beckstead |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487369641 PECOS PAC ID: 3577913573 Enrollment ID: I20240102004004 |
Provider Name | Christopher S Hunter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871084525 PECOS PAC ID: 7618201674 Enrollment ID: I20240108005057 |