Tribal- Nondalton Clinic | |
69 Main Street Nondalton AK 99640 | |
(907) 294-2238 | |
Not Available |
Full Name | Tribal- Nondalton Clinic |
---|---|
Speciality | Clinic/center - Community Health |
Location | 69 Main Street, Nondalton, Alaska |
Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
Authorized Official Contact | 9077294939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tribal- Nondalton Clinic Po Box 35198 Seattle WA 98124-5198 Ph: () - | Tribal- Nondalton Clinic 69 Main Street Nondalton AK 99640 Ph: (907) 294-2238 |
NPI Number | 1740659192 |
---|---|
Provider Enumeration Date | 09/16/2015 |
Last Update Date | 09/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740659192 | NPI | - | NPPES |
1637739 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 20467 (Alaska) | Primary |