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9 Hillside Rd. Buckland AK 99727-0009 | |
(907) 494-2122 | |
(907) 494-2104 |
Full Name | |
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Speciality | Clinic/center - Public Health, Federal |
Location | 9 Hillside Rd., Buckland, Alaska |
Authorized Official Name and Position | Paul John Hansen (DEPUTY ADMINISTRATOR) |
Authorized Official Contact | 9074427150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.o. Box 43 Kotzebue AK 99752-0043 Ph: (907) 442-7150 | 9 Hillside Rd. Buckland AK 99727-0009 Ph: (907) 494-2122 |
NPI Number | 1639446347 |
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Provider Enumeration Date | 11/23/2011 |
Last Update Date | 11/23/2011 |
Identifier | Type | State | Issuer |
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1639446347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |