| Juneau Front Street Clinic | |
|
225 S Front Street Juneau AK 99801-1251 | |
| (907) 463-4201 | |
| Not Available |
| Full Name | Juneau Front Street Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 225 S Front Street, Juneau, Alaska |
| Authorized Official Name and Position | Barbara Searls (CHEIF FINANCIAL OFFICER) |
| Authorized Official Contact | 9074634061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juneau Front Street Clinic 222 Tongass Dr Sitka AK 99835-9416 Ph: (907) 966-2411 | Juneau Front Street Clinic 225 S Front Street Juneau AK 99801-1251 Ph: (907) 463-4201 |
| NPI Number | 1386629814 |
|---|---|
| Provider Enumeration Date | 12/07/2005 |
| Last Update Date | 08/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386629814 | NPI | - | NPPES |
| MDG628 | Medicaid | AK | |
| MDG632 | Medicaid | AK | |
| CL6274 | Medicaid | AK | |
| PH7402 | Medicaid | AK | |
| DDG227 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 70206 (Alaska) | Primary |
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