Aleknagik South Side Clinic | |
Main Street Aleknagik South AK 99555 | |
(907) 842-5201 | |
(907) 842-9250 |
Full Name | Aleknagik South Side Clinic |
---|---|
Speciality | Clinic/center |
Location | Main Street, Aleknagik South, Alaska |
Authorized Official Name and Position | Robert Clark (CEO) |
Authorized Official Contact | 9078425201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aleknagik South Side Clinic Po Box 130 Dillingham AK 99576-0130 Ph: (907) 842-5201 | Aleknagik South Side Clinic Main Street Aleknagik South AK 99555 Ph: (907) 842-5201 |
NPI Number | 1740342286 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 04/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740342286 | NPI | - | NPPES |
TEZ154 | Other | AK | MEDICARE ID- TYPE UNSPECIFIED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
News Archive
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