| NPI | 1538378625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON VP Finance 907-729-4939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: AK 20467) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-01-28 |