| Kivalina Clinic | |
|
8 Bering St Kivalina AK 99750 | |
| (907) 442-3321 | |
| (907) 442-7250 |
| Full Name | Kivalina Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 8 Bering St, Kivalina, Alaska |
| Authorized Official Name and Position | Gus Nelson (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 9074423321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kivalina Clinic Po Box 43 Kotzebue AK 99752-0043 Ph: (907) 442-3321 | Kivalina Clinic 8 Bering St Kivalina AK 99750 Ph: (907) 442-3321 |
| NPI Number | 1326794736 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 03/15/2022 |
| Certification Date | 03/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326794736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QD0000X | Clinic/center - Dental | (NU) | Secondary |
Kivalina Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Bering St., Kivalina, AK 99750 Phone: 907-645-2141 Fax: 907-645-2181 |