| Chugachmiut | |
|
63998 Graham Road Unit #3 Port Graham AK 99603 | |
| (907) 284-2241 | |
| (907) 284-2277 |
| Full Name | Chugachmiut |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 63998 Graham Road Unit #3, Port Graham, Alaska |
| Authorized Official Name and Position | Kelley Baker (HEALTH SERVICES DIVISION DIRECTOR) |
| Authorized Official Contact | 9073340148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chugachmiut 1840 Bragaw St Ste 110 Anchorage AK 99508-3463 Ph: (907) 562-4155 | Chugachmiut 63998 Graham Road Unit #3 Port Graham AK 99603 Ph: (907) 284-2241 |
| NPI Number | 1902077837 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 12/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902077837 | NPI | - | NPPES |
| 1581154 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |