NPI | 1386680056 |
---|---|
Doing Business As | TRIBAL/HPG- VALLEY NATIVE PRIMARY CARE CENTER |
Entity Type | Organization |
Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: AK 20467) |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: AK 20467) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2023-09-01 |