Tribal - Port Alsworth Community Health Center | |
1 Flight Line Rd Port Alsworth AK 99653-9801 | |
(907) 781-2256 | |
Not Available |
Full Name | Tribal - Port Alsworth Community Health Center |
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Speciality | Clinic/center - Community Health |
Location | 1 Flight Line Rd, Port Alsworth, 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 - Port Alsworth Community Health Center Po Box 35198 Seattle WA 98124-5198 Ph: () - | Tribal - Port Alsworth Community Health Center 1 Flight Line Rd Port Alsworth AK 99653-9801 Ph: (907) 781-2256 |
NPI Number | 1770953903 |
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Provider Enumeration Date | 09/30/2015 |
Last Update Date | 09/14/2023 |
Identifier | Type | State | Issuer |
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1770953903 | NPI | - | NPPES |
1643081 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | 20467 (Alaska) | Primary |