| Southcentral Foundation Nikolai Health Center | |
|
9105 Airport Drive Nikolai AK 99691 | |
| (907) 293-2328 | |
| (907) 729-6353 |
| Full Name | Southcentral Foundation Nikolai Health Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 9105 Airport Drive, Nikolai, Alaska |
| Authorized Official Name and Position | Cathy A Lemay (DIRECTOR OF PATIENT ACCOUNTS) |
| Authorized Official Contact | 9077294955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southcentral Foundation Nikolai Health Center 4201 Tudor Centre Dr Ste 320 Anchorage AK 99508-5916 Ph: (907) 729-4955 | Southcentral Foundation Nikolai Health Center 9105 Airport Drive Nikolai AK 99691 Ph: (907) 293-2328 |
| NPI Number | 1548293798 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548293798 | NPI | - | NPPES |
| CL9691 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (Alaska) | Primary |