| NPI | 1578623641 |
|---|---|
| Other Name | CHIGNIK LAGOON CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT CLARK CEO/President 907-842-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-10-06 |