| City Of Galena | |
|
74 Ruby Road Ruby AK 99768-0074 | |
| (907) 468-4433 | |
| (907) 468-4411 |
| Full Name | City Of Galena |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 74 Ruby Road, Ruby, Alaska |
| Authorized Official Name and Position | Cathy Anne Desanto (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9076562366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Galena 77 Antoski Avenue Galena AK 99741-0077 Ph: (907) 656-2366 | City Of Galena 74 Ruby Road Ruby AK 99768-0074 Ph: (907) 468-4433 |
| NPI Number | 1487818639 |
|---|---|
| Provider Enumeration Date | 07/17/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487818639 | NPI | - | NPPES |
| CL4429 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |