| Northway Family Healthcare | |
|
130 Carlanna Lake Rd Ste 201 Ketchikan AK 99901-5669 | |
| (907) 225-4325 | |
| (907) 225-4326 |
| Full Name | Northway Family Healthcare |
|---|---|
| Speciality | Clinic/center |
| Location | 130 Carlanna Lake Rd Ste 201, Ketchikan, Alaska |
| Authorized Official Name and Position | Maureen Maka Northway (OWNER) |
| Authorized Official Contact | 9072254325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northway Family Healthcare 130 Carlanna Lake Rd Ste 201 Ketchikan AK 99901-5669 Ph: (907) 225-4325 | Northway Family Healthcare 130 Carlanna Lake Rd Ste 201 Ketchikan AK 99901-5669 Ph: (907) 225-4325 |
| NPI Number | 1386398881 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386398881 | NPI | - | NPPES |
| 1573464 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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