New Stuyahok Clinic | |
109 Main Street New Stuyahok AK 99636 | |
(907) 842-5201 | |
(907) 842-9250 |
Full Name | New Stuyahok Clinic |
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Speciality | Clinic/center |
Location | 109 Main Street, New Stuyahok, Alaska |
Authorized Official Name and Position | Cathy Leeann Taylor (PROVIDER ENROLLMENT SPECIALIST) |
Authorized Official Contact | 9078425201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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New Stuyahok Clinic Po Box 130 Dillingham AK 99576-0130 Ph: (907) 842-5201 | New Stuyahok Clinic 109 Main Street New Stuyahok AK 99636 Ph: (907) 842-5201 |
NPI Number | 1720148976 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 10/06/2023 |
Identifier | Type | State | Issuer |
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1720148976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |