King Salmon | |
357 Main Street King Salmon AK 99613-0000 | |
(907) 842-5201 | |
(907) 842-9250 |
Full Name | King Salmon |
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Speciality | Clinic/center |
Location | 357 Main Street, King Salmon, Alaska |
Authorized Official Name and Position | Robert Clark (CEO) |
Authorized Official Contact | 9078425201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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King Salmon 6000 Kanakanak Rd Dillingham AK 99576 Ph: (907) 842-5201 | King Salmon 357 Main Street King Salmon AK 99613-0000 Ph: (907) 842-5201 |
NPI Number | 1891856894 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 10/06/2023 |
Identifier | Type | State | Issuer |
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1891856894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 920044692 (Alaska) | Primary |