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Organization
ALASKA FAITH MINISTRIES LLC
Active
Organization
ALASKA FAITH MINISTRIES LLC
Active
Other names
North Country Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GALLAGHER (CEO)
(907) 822-5686
Entity
Organization
Contact information
Practice address
53 MILE TOK CUTOFF, GAKONA, AK 99586-9702
(907) 822-3937
(907) 822-3937
Mailing address
PO BOX 5, GLENNALLEN, AK 99588-0589
(907) 822-3203
(907) 822-5805
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1037992
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666871
—
AK
Enumeration date
05/21/2012
Last updated
03/29/2021
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