Tribal- St. Paul Community Health Center | |
1000 Polovina Turnpike St Paul AK 99660 | |
(907) 546-8300 | |
Not Available |
Full Name | Tribal- St. Paul Community Health Center |
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Speciality | Clinic/center - Multi-specialty |
Location | 1000 Polovina Turnpike, St Paul, 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- St. Paul Community Health Center Po Box 35198 Seattle WA 98124-5198 Ph: () - | Tribal- St. Paul Community Health Center 1000 Polovina Turnpike St Paul AK 99660 Ph: (907) 546-8300 |
NPI Number | 1922405406 |
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Provider Enumeration Date | 11/26/2014 |
Last Update Date | 09/18/2023 |
Identifier | Type | State | Issuer |
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1922405406 | NPI | - | NPPES |
1627061 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 20467 (Alaska) | Primary |