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11495 N Callison Street Sutton AK 99674 | |
(907) 631-7665 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 11495 N Callison Street, Sutton, Alaska |
Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT OF FINANCE) |
Authorized Official Contact | 9077294939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 35198 Seattle WA 98124-5198 Ph: () - | 11495 N Callison Street Sutton AK 99674 Ph: (907) 631-7665 |
NPI Number | 1043632037 |
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Provider Enumeration Date | 01/10/2014 |
Last Update Date | 08/30/2023 |
Identifier | Type | State | Issuer |
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1043632037 | NPI | - | NPPES |
1607931 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | 20467 (Alaska) | Primary |