Portage Creek | |
Main Steet Portage Creek AK 99576 | |
(907) 842-5201 | |
(907) 840-9203 |
Full Name | Portage Creek |
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Speciality | Clinic/center |
Location | Main Steet, Portage Creek, 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 |
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Portage Creek Po Box 130 Dillingham AK 99576-0130 Ph: (907) 842-5201 | Portage Creek Main Steet Portage Creek AK 99576 Ph: (907) 842-5201 |
NPI Number | 1427119874 |
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Provider Enumeration Date | 12/12/2006 |
Last Update Date | 08/06/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427119874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |