| Physician Group | |
|
6000 Kanakanak Rd Dillingham AK 99576 | |
| (907) 842-5201 | |
| (907) 842-9250 |
| Full Name | Physician Group |
|---|---|
| Speciality | Family Medicine |
| Location | 6000 Kanakanak Rd, Dillingham, Alaska |
| Authorized Official Name and Position | Robert Clark (CEO) |
| Authorized Official Contact | 9078425201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Group Po Box 130 Dillingham AK 99576-0130 Ph: (907) 842-5201 | Physician Group 6000 Kanakanak Rd Dillingham AK 99576 Ph: (907) 842-5201 |
| NPI Number | 1689873739 |
|---|---|
| Provider Enumeration Date | 07/17/2007 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689873739 | NPI | - | NPPES |
| MDG449 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Spirit Sent Health Care Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Coumbine Circle, Dillingham, AK 99576 Phone: 907-843-1966 | |
Bristol Bay Area Health Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Kanakanak Rd, Dillingham, AK 99576 Phone: 907-842-5201 Fax: 907-842-9250 |