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Mile 28.5 Edgerton Hwy Chitina AK 99566 | |
(907) 823-2215 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | Mile 28.5 Edgerton Hwy, Chitina, Alaska |
Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
Authorized Official Contact | 7017294939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 35198 Seattle WA 98124-5198 Ph: (907) 729-4953 | Mile 28.5 Edgerton Hwy Chitina AK 99566 Ph: (907) 823-2215 |
NPI Number | 1477377661 |
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Provider Enumeration Date | 11/13/2024 |
Last Update Date | 11/18/2024 |
Identifier | Type | State | Issuer |
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1477377661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |