| NPI | 1326047044 |
|---|---|
| Doing Business As | KODIAK COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CAROL AUSTERMAN Executive Director 907-481-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: AK 297211) |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AK 297211) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2022-06-24 |