| NPI | 1194261594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HARRIS Chief Financial Officer 907-463-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AK 70206) |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2020-12-29 |