| Kobuk Clinic | |
|
51003 Main St Kobuk AK 99751 | |
| (907) 442-3321 | |
| (907) 442-7250 |
| Full Name | Kobuk Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 51003 Main St, Kobuk, Alaska |
| Authorized Official Name and Position | Gus Nelson (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 9074423321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kobuk Clinic Po Box 43 Kotzebue AK 99752-0043 Ph: (907) 442-3321 | Kobuk Clinic 51003 Main St Kobuk AK 99751 Ph: (907) 442-3321 |
| NPI Number | 1235885641 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 03/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235885641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Kobuk Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51003 Main St., Kobuk, AK 99751 Phone: 907-948-2221 Fax: 907-948-2199 |