| Tribal- Quyana Clubhouse | |
|
225 Eagle St Anchorage AK 99501-2626 | |
| (907) 729-6550 | |
| Not Available |
| Full Name | Tribal- Quyana Clubhouse |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 225 Eagle St, Anchorage, 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 |
|---|---|
| Tribal- Quyana Clubhouse Po Box 35198 Seattle WA 98124-5198 Ph: () - | Tribal- Quyana Clubhouse 225 Eagle St Anchorage AK 99501-2626 Ph: (907) 729-6550 |
| NPI Number | 1447512660 |
|---|---|
| Provider Enumeration Date | 06/13/2012 |
| Last Update Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447512660 | NPI | - | NPPES |
| 1000855 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 20467 (Alaska) | Primary |
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