| Chugachmiut | |
|
625 Main Street Chenega AK 99574-8029 | |
| (907) 573-5129 | |
| (907) 573-5148 |
| Full Name | Chugachmiut |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 625 Main Street, Chenega, Alaska |
| Authorized Official Name and Position | Kelley Baker (HEALTH SERVICES DIVISION DIRECTOR) |
| Authorized Official Contact | 9075624155 |
| 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 625 Main Street Chenega AK 99574-8029 Ph: (907) 573-5129 |
| NPI Number | 1700057676 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 12/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700057676 | NPI | - | NPPES |
| 1021383 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |