| Eastern Aleutian Tribes, Inc. | |
|
40 Main Street Nelson Lagoon AK 99571 | |
| (907) 989-2202 | |
| (907) 277-1436 |
| Full Name | Eastern Aleutian Tribes, Inc. |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 40 Main Street, Nelson Lagoon, Alaska |
| Authorized Official Name and Position | Jennifer Dahle Harrison (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9072771440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Aleutian Tribes, Inc. 3380 C Street Suite 100 Anchorage AK 99503 Ph: (907) 277-1440 | Eastern Aleutian Tribes, Inc. 40 Main Street Nelson Lagoon AK 99571 Ph: (907) 989-2202 |
| NPI Number | 1003970062 |
|---|---|
| Provider Enumeration Date | 12/21/2006 |
| Last Update Date | 05/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003970062 | NPI | - | NPPES |
| CL 3917 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (Alaska) | Primary |