| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 310 Bennett St, Wrangell, Alaska |
| Authorized Official Name and Position | Daniel Neumeister (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9074634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3100 Channel Drive Ste 300 Attn: Provider Enrollment Juneau AK 99801 Ph: (907) 463-4000 | 310 Bennett St Wrangell AK 99929 Ph: (907) 874-4700 |
| NPI Number | 1447796842 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 05/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447796842 | NPI | - | NPPES |
| 70206 | Other | AK | BUSINESS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Alaska Island Community Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Lynch Street, Wrangell, AK 99929 Phone: 907-874-2373 | |
Alaska Island Community Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Church Street, Wrangell, AK 99929 Phone: 907-874-2373 | |
Alaska Island Community Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Lynch Street, Wrangell, AK 99929 Phone: 907-874-5012 | |
Alaska Island Community Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Wood St, Wrangell, AK 99929 Phone: 907-874-4700 |