City of Galena

NPI #1487818639 in Ruby, Alaska

Provider Information

NPI Number: 1487818639
Entity Type: Organization
Organization Name: City of Galena
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jul 17, 2008
Last Updated: Jul 17, 2008

Practice Location

Address: 74 RUBY ROAD
City: Ruby
State: Alaska
ZIP Code: 99768-0074
Phone: (907) 468-4433

Authorized Official

Name: CATHY ANNE DESANTO, ANP
Title: EXECUTIVE DIRECTOR
Phone: (907) 656-2366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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