Tribal- Centennial Center Clinic | |
9131 Centennial Cir Anchorage AK 99504-1482 | |
(907) 729-4955 | |
Not Available |
Full Name | Tribal- Centennial Center Clinic |
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Speciality | Clinic/center - Multi-specialty |
Location | 9131 Centennial Cir, Anchorage, 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- Centennial Center Clinic Po Box 35198 Seattle WA 98124-5198 Ph: () - | Tribal- Centennial Center Clinic 9131 Centennial Cir Anchorage AK 99504-1482 Ph: (907) 729-4955 |
NPI Number | 1306503578 |
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Provider Enumeration Date | 11/23/2021 |
Last Update Date | 09/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306503578 | NPI | - | NPPES |
1728771 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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