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37 Chilkat Avenue Klukwan AK 99827 | |
(907) 767-5699 | |
(907) 767-5599 |
Full Name | |
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Speciality | Clinic/center |
Location | 37 Chilkat Avenue, Klukwan, 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 |
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3100 Channel Dr Ste 300 Juneau AK 99801-7837 Ph: (907) 463-4074 | 37 Chilkat Avenue Klukwan AK 99827 Ph: (907) 767-5699 |
NPI Number | 1033323852 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 05/25/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033323852 | NPI | - | NPPES |
CL5627 | Medicaid | AK | |
MDG632 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 70602 (Alaska) | Primary |