Tatitlek Clinic | |
505 Copper Mountain Street Tatitlek AK 99677 | |
(907) 325-2235 | |
(907) 325-2350 |
Full Name | Tatitlek Clinic |
---|---|
Speciality | Clinic/center - Community Health |
Location | 505 Copper Mountain Street, Tatitlek, Alaska |
Authorized Official Name and Position | Kelley Baker (HEALTH SERVICES DIVISION DIRECTOR) |
Authorized Official Contact | 9075624155 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tatitlek Clinic 1840 Bragaw St Ste 110 Anchorage AK 99508-3463 Ph: (907) 562-4155 | Tatitlek Clinic 505 Copper Mountain Street Tatitlek AK 99677 Ph: (907) 325-2235 |
NPI Number | 1801067723 |
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Provider Enumeration Date | 03/19/2008 |
Last Update Date | 09/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801067723 | NPI | - | NPPES |
1021383 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |