| Kenaitze Indian Tribe | |
|
12271 South Forest Drive Kenai AK 99611 | |
| (907) 335-7636 | |
| Not Available |
| Full Name | Kenaitze Indian Tribe |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 12271 South Forest Drive, Kenai, Alaska |
| Authorized Official Name and Position | Greg Burnett (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 9073357635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenaitze Indian Tribe Po Box 988 Kenai AK 99611-0988 Ph: (907) 335-7500 | Kenaitze Indian Tribe 12271 South Forest Drive Kenai AK 99611 Ph: (907) 335-7636 |
| NPI Number | 1053293878 |
|---|---|
| Provider Enumeration Date | 07/23/2025 |
| Last Update Date | 07/30/2025 |
| Certification Date | 07/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053293878 | NPI | - | NPPES |
| 1000870 | Medicaid | AK | |
| 1021034 | Medicaid | AK |
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