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53 Mile Tok Cutoff Gakona AK 99586-9702 | |
(907) 822-3937 | |
(907) 822-3937 |
Full Name | |
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Speciality | Clinic/center |
Location | 53 Mile Tok Cutoff, Gakona, Alaska |
Authorized Official Name and Position | Steven Gallagher (CEO) |
Authorized Official Contact | 9078225686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5 Glennallen AK 99588-0589 Ph: (907) 822-3203 | 53 Mile Tok Cutoff Gakona AK 99586-9702 Ph: (907) 822-3937 |
NPI Number | 1003176348 |
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Provider Enumeration Date | 05/21/2012 |
Last Update Date | 03/29/2021 |
Identifier | Type | State | Issuer |
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1003176348 | NPI | - | NPPES |
1666871 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 1037992 (Alaska) | Primary |