| NPI | 1700984614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN J WRIGHT CEO 907-260-7314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AK 703967) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 363AM0700X Physician Assistant, Medical (Licence: AK 706967) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: AK 706967) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 737) | |
| 103TC0700X Psychologist, Clinical (Licence: AK 706967) | |
| 1041C0700X Social Worker, Clinical (Licence: AK 706967) | |
| 122300000X Dentist (Licence: AK 706967) | |
| 174400000X Specialist (Licence: AK 2093) | |
| 207Q00000X Family Medicine (Licence: AK 706967) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2023-04-25 |