NPI | 1821201278 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOLINE BERGSTROM Director Of Health Services 907-452-8251 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261Q00000X Clinic/Center |
261QA1903X Clinic/Center, Ambulatory Surgical | |
261QI0500X Clinic/Center, Infusion Therapy | |
261QX0200X Clinic/Center, Oncology | |
324500000X Substance Abuse Rehabilitation Facility | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2024-07-23 |