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Organization
CHUGACHMIUT
Active
Organization
CHUGACHMIUT
Active
Other names
Chugachmiut Regional Health Center, North Star Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY BAKER (HEALTH SERVICES DIVISION DIRECTOR)
(907) 562-4155
Entity
Organization
Contact information
Practice address
2035 SEWARD HIGHWAY, SEWARD, AK 99664
(907) 224-4925
(907) 224-4933
Mailing address
1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463
(907) 562-4155
(907) 563-2891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003824
—
AK
Enumeration date
07/20/2007
Last updated
03/24/2025
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