Talkeetna Denali Family Medical Clinic Llc | |
125 First St Box 1148 Talkeetna AK 99676 | |
(907) 733-2708 | |
Not Available |
Full Name | Talkeetna Denali Family Medical Clinic Llc |
---|---|
Speciality | Family Medicine |
Location | 125 First St, Talkeetna, Alaska |
Authorized Official Name and Position | James Ernest Yates (MEDICAL DIRECTOR) |
Authorized Official Contact | 9077332708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Talkeetna Denali Family Medical Clinic Llc Po Box 1148 125 First St Talkeetna AK 99676-1148 Ph: (907) 733-2708 | Talkeetna Denali Family Medical Clinic Llc 125 First St Box 1148 Talkeetna AK 99676 Ph: (907) 733-2708 |
NPI Number | 1114079308 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114079308 | NPI | - | NPPES |
PH 37732 | Medicaid | AK | |
MD 37732 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3773 (Alaska) | Primary |
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