| Norton Sound Health Corporation | |
|
85058 Clarence Road Brevig Mission AK 99785 | |
| (907) 443-3311 | |
| Not Available |
| Full Name | Norton Sound Health Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 85058 Clarence Road, Brevig Mission, Alaska |
| Authorized Official Name and Position | Angela Faustine Gorn (CEO) |
| Authorized Official Contact | 9074433286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norton Sound Health Corporation Po Box 966 Nome AK 99762-0966 Ph: (907) 443-3111 | Norton Sound Health Corporation 85058 Clarence Road Brevig Mission AK 99785 Ph: (907) 443-3311 |
| NPI Number | 1700477387 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 01/27/2021 |
| Certification Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700477387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |