South Naknek Clinic | |
70081 Main Street South Naknek AK 99670 | |
(907) 842-5201 | |
(907) 842-9250 |
Full Name | South Naknek Clinic |
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Speciality | Clinic/center |
Location | 70081 Main Street, South Naknek, 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 |
---|---|
South Naknek Clinic Po Box 130 Dillingham AK 99576-0130 Ph: (907) 842-5201 | South Naknek Clinic 70081 Main Street South Naknek AK 99670 Ph: (907) 842-5201 |
NPI Number | 1477614188 |
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Provider Enumeration Date | 12/13/2006 |
Last Update Date | 10/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477614188 | NPI | - | NPPES |
TEZ031 | Other | AK | MEDICARE ID-TYPE UNSPECIFIED |
1020782 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
South Naknek Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70081 Main Street, South Naknek, AK 99670 Phone: 907-842-5201 Fax: 907-842-9250 |