NPI | 1922405406 |
---|---|
Doing Business As | TRIBAL- ST. PAUL COMMUNITY HEALTH CENTER |
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 (Licence: AK 20467) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2023-09-18 |