| Arctic Slope Native Association | |
|
1296 Agvik St Barrow AK 99723 | |
| (907) 852-4611 | |
| (907) 852-9297 |
| Full Name | Arctic Slope Native Association |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1296 Agvik St, Barrow, Alaska |
| Authorized Official Name and Position | Amanda Ashley-gaynor (CLINICAL DIRECTOR OF DENTAL) |
| Authorized Official Contact | 9078524611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arctic Slope Native Association Po Box 29 1296 Agvik St Barrow AK 99723-0029 Ph: (907) 852-4611 | Arctic Slope Native Association 1296 Agvik St Barrow AK 99723 Ph: (907) 852-4611 |
| NPI Number | 1528181971 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528181971 | NPI | - | NPPES |
| DD1010 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DD1010 (Alaska) | Primary |