| Tribal/hpg- Valley Native Primary Care Center | |
|
1001 S Knik Goose Bay Rd Wasilla AK 99654-8083 | |
| (907) 631-7800 | |
| Not Available |
| Full Name | Tribal/hpg- Valley Native Primary Care Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1001 S Knik Goose Bay Rd, Wasilla, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tribal/hpg- Valley Native Primary Care Center Po Box 35198 Seattle WA 98124-5198 Ph: () - | Tribal/hpg- Valley Native Primary Care Center 1001 S Knik Goose Bay Rd Wasilla AK 99654-8083 Ph: (907) 631-7800 |
| NPI Number | 1386680056 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 09/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386680056 | NPI | - | NPPES |
| 1020925 | Medicaid | AK | |
| 1000873 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 20467 (Alaska) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 20467 (Alaska) | Secondary |
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