| NPI | 1043533946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA M RAMIREZ Diabetes Coordinator 907-228-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AK 10728) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |