| Chugachmiut | |
|
505 Copper Mountain Street Tatitlek AK 99677 | |
| (907) 325-2235 | |
| (907) 325-2350 |
| Full Name | Chugachmiut |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 505 Copper Mountain Street, Tatitlek, Alaska |
| Authorized Official Name and Position | Kelley Baker (HEALTH SERVICES DIVISION DIRECTOR) |
| Authorized Official Contact | 9075624155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chugachmiut 1840 Bragaw St Ste 110 Anchorage AK 99508-3463 Ph: (907) 562-4155 | Chugachmiut 505 Copper Mountain Street Tatitlek AK 99677 Ph: (907) 325-2235 |
| NPI Number | 1801067723 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801067723 | NPI | - | NPPES |
| 1021383 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |