NPI | 1255478806 |
---|---|
Doing Business As | SHUNGNAK HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | CHARLENE D TICKETT Chp 907-437-2138 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-08-22 |