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CHICKALOON NATIVE VILLLAGE NPI 1619267937


NPI Information

NPI: 1619267937
Provider Name: CHICKALOON NATIVE VILLLAGE

Doing Business As: CHICKALOON VILLAGE TRADITIONAL COUNCIL

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
16166 NORTH GLEN HIGHWAY
MILE 61.5 GLEN HIGHWAY
SUTTON, AK
ZIP 99674
Phone: (907) 745-0704
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CHICKALOON NATIVE VILLLAGE is a community health clinic center in Sutton, AK. CHICKALOON NATIVE VILLLAGE NPI is 1619267937. The provider is registered as an organization entity type.
The provider Is Doing Business As Chickaloon Village Traditional Council.

The provider's business location address is:

16166 NORTH GLEN HIGHWAY
MILE 61.5 GLEN HIGHWAY
SUTTON, AK
ZIP 99674-105
Phone: (907) 745-0704
Fax: (907) 745-0708

The provider's authorized official is Amanda Nicole Christiansen .
The authorized official title is Clinic Manager and has the following contact phone number (907) 745-0704.

The enumeration date for this NPI number is 4/8/2011 and was last updated on 4/8/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QC1500XClinic/CenterCommunity HealthALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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