Chickaloon Native Villlage

NPI #1619267937 in Sutton, Alaska

Provider Information

NPI Number
1619267937
Entity Type
Organization
Organization Name
Chickaloon Native Villlage
Primary Specialty
Clinic/Center - Community Health
Enumeration Date
Apr 8, 2011
Last Updated
Apr 8, 2011

Practice Location

Address
16166 NORTH GLEN HIGHWAY
Address 2
MILE 61.5 GLEN HIGHWAY
City
Sutton
State
Alaska
ZIP Code
99674-1105
Phone
(907) 745-0704

Authorized Official

Name
MRS. AMANDA NICOLE CHRISTIANSEN
Title
CLINIC MANAGER
Phone
(907) 745-0704

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health

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Provider Name
Southcentral Foundation

Part of Southcentral Foundation

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