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51003 Main St. Kobuk AK 99751-0003 | |
(907) 948-2221 | |
(907) 948-2199 |
Full Name | |
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Speciality | Clinic/center - Public Health, Federal |
Location | 51003 Main St., Kobuk, Alaska |
Authorized Official Name and Position | Paul John Hansen (DEPUTY ADMINISTRATOR) |
Authorized Official Contact | 9074427150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.o.box 43 Kotzebue AK 99752-0043 Ph: (907) 442-7150 | 51003 Main St. Kobuk AK 99751-0003 Ph: (907) 948-2221 |
NPI Number | 1265709901 |
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Provider Enumeration Date | 11/23/2011 |
Last Update Date | 11/23/2011 |
Identifier | Type | State | Issuer |
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1265709901 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |