| Eastern Aleutian Tribes, Inc. | |
|
527 Main St. Sand Point AK 99661 | |
| (907) 383-3151 | |
| (907) 383-5688 |
| Full Name | Eastern Aleutian Tribes, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 527 Main St., Sand Point, Alaska |
| Authorized Official Name and Position | Michael Christensen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9072771440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Aleutian Tribes, Inc. 3380 C St Suite 100 Anchorage AK 99503-3920 Ph: (907) 277-1440 | Eastern Aleutian Tribes, Inc. 527 Main St. Sand Point AK 99661 Ph: (907) 383-3151 |
| NPI Number | 1821290925 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 04/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821290925 | NPI | - | NPPES |
| MH4238 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Alaska) | Primary |