# CHITINA TRADITIONAL INDIAN VILLAGE COUNCIL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chitina Tribal and Community Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235595562
- **Authorized official:** MRS. ROSE TYONE AO (PRESIDENT)
- **Authorized official phone:** (907) 823-2215

## Contact information

- **Practice address:** MILE 28.5 EDGERTON HWY, CHITINA, AK 99566
- **Practice address phone:** (907) 823-2213
- **Mailing address:** PO BOX 31, CHITINA, AK 99566-0031
- **Mailing address phone:** (907) 823-2213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 306263 | AK | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 07/23/2018