Bsd- Valley Native Primary Care Center- Vnpcc | |
1001 S Knik Goose Bay Rd Wasilla AK 99654-8083 | |
(907) 631-7800 | |
Not Available |
Full Name | Bsd- Valley Native Primary Care Center- Vnpcc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1001 S Knik Goose Bay Rd, Wasilla, Alaska |
Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
Authorized Official Contact | 9077294939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bsd- Valley Native Primary Care Center- Vnpcc Po Box 35198 Seattle WA 98124-5198 Ph: () - | Bsd- Valley Native Primary Care Center- Vnpcc 1001 S Knik Goose Bay Rd Wasilla AK 99654-8083 Ph: (907) 631-7800 |
NPI Number | 1205138294 |
---|---|
Provider Enumeration Date | 11/23/2010 |
Last Update Date | 08/31/2023 |
Certification Date | 08/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205138294 | NPI | - | NPPES |
1697883 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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› Verified 9 days ago
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