Tribal - Pedro Bay Community Health Clinic | |
2516 Mountain Circle Pedro Bay AK 99647 | |
(907) 850-2229 | |
Not Available |
Full Name | Tribal - Pedro Bay Community Health Clinic |
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Speciality | Clinic/center - Community Health |
Location | 2516 Mountain Circle, Pedro Bay, 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 |
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Tribal - Pedro Bay Community Health Clinic Po Box 35198 Seattle WA 98124-5198 Ph: () - | Tribal - Pedro Bay Community Health Clinic 2516 Mountain Circle Pedro Bay AK 99647 Ph: (907) 850-2229 |
NPI Number | 1952770307 |
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Provider Enumeration Date | 09/16/2015 |
Last Update Date | 09/19/2023 |
Identifier | Type | State | Issuer |
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1952770307 | NPI | - | NPPES |
1637731 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 20467 (Alaska) | Primary |