| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 232 Wood Street, Wrangell, Alaska |
| Authorized Official Name and Position | Daniel Harris (VP/CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9074634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3100 Channel Dr Ste 300 Juneau AK 99801-7837 Ph: (907) 463-4074 | 232 Wood Street Wrangell AK 99929 Ph: (907) 874-7000 |
| NPI Number | 1528535218 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 01/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528535218 | NPI | - | NPPES |
| 70206 | Other | AK | STATE OF ALASKA |
| 1689454 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (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 |