NPI | 1528600947 |
---|---|
Doing Business As | TRIBAL- ELDERS PROGRAM CLINIC |
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 |
Enumeration Date | 2019-10-17 |
Last Update Date | 2023-09-13 |