| Sunshine Community Health Center, Inc | |
|
24091 W Long Lake Rd Willow AK 99688-0519 | |
| (907) 733-2273 | |
| (907) 733-1735 |
| Full Name | Sunshine Community Health Center, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 24091 W Long Lake Rd, Willow, Alaska |
| Authorized Official Name and Position | Amanda Simpson (CREDENTAILING SPECIALIST) |
| Authorized Official Contact | 9077332273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Community Health Center, Inc 24091 W Long Lake Road Willow AK 99688-9999 Ph: () - | Sunshine Community Health Center, Inc 24091 W Long Lake Rd Willow AK 99688-0519 Ph: (907) 733-2273 |
| NPI Number | 1528463304 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528463304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 77895 (Alaska) | Primary |
Jason M. Lane Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23375 W Beluga Ave, Suite B, Willow, AK 99688 Phone: 907-631-3521 |