| Sunshine Community Health Center Inc | |
|
24091 W Long Lake Rd Willow AK 99688-9999 | |
| (907) 495-4100 | |
| (907) 733-1735 |
| Full Name | Sunshine Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24091 W Long Lake Rd, Willow, Alaska |
| Authorized Official Name and Position | Melody Palermo (CEO) |
| Authorized Official Contact | 9077332273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Community Health Center Inc Hc 89 Box 8190 Talkeetna AK 99676-9701 Ph: (907) 733-2273 | Sunshine Community Health Center Inc 24091 W Long Lake Rd Willow AK 99688-9999 Ph: (907) 495-4100 |
| NPI Number | 1699892307 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 07/25/2014 |
| Medicare PECOS PAC ID | 3173415635 |
|---|---|
| Medicare Enrollment ID | O20080304000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699892307 | NPI | - | NPPES |
| 1029931 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 77895 (Alaska) | Primary |
Heart Of Willow Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mile 69.1 Parks Highway, Willow, AK 99688 Phone: 907-495-4362 Fax: 907-495-4363 |