| Native Village Of Tyonek | |
|
73 C Street Tyonek AK 99682 | |
| (907) 583-2461 | |
| (907) 583-2155 |
| Full Name | Native Village Of Tyonek |
|---|---|
| Speciality | Clinic/center |
| Location | 73 C Street, Tyonek, Alaska |
| Authorized Official Name and Position | David Matthew Rogers (TRIBAL ADMINISTRATOR) |
| Authorized Official Contact | 9075832201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Native Village Of Tyonek Po Box 82009 Tyonek AK 99682-0009 Ph: (907) 583-2461 | Native Village Of Tyonek 73 C Street Tyonek AK 99682 Ph: (907) 583-2461 |
| NPI Number | 1689925463 |
|---|---|
| Provider Enumeration Date | 09/20/2012 |
| Last Update Date | 09/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689925463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 261Q00000X (Alaska) | Primary |
Tribal- Indian Creek Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Indian Creek Road, Tyonek, AK 99682 Phone: 907-583-2461 |