| Chitina Traditional Indian Village Council | |
|
Mile 28.5 Edgerton Hwy Chitina AK 99566 | |
| (907) 823-2213 | |
| Not Available |
| Full Name | Chitina Traditional Indian Village Council |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | Mile 28.5 Edgerton Hwy, Chitina, Alaska |
| Authorized Official Name and Position | Rose Tyone (PRESIDENT) |
| Authorized Official Contact | 9078232215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chitina Traditional Indian Village Council Po Box 31 Chitina AK 99566-0031 Ph: (907) 823-2213 | Chitina Traditional Indian Village Council Mile 28.5 Edgerton Hwy Chitina AK 99566 Ph: (907) 823-2213 |
| NPI Number | 1235595562 |
|---|---|
| Provider Enumeration Date | 12/31/2015 |
| Last Update Date | 07/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235595562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 306263 (Alaska) | Primary |
Southcentral Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mile 28.5 Edgerton Hwy, Chitina, AK 99566 Phone: 907-823-2215 |