# EDGAR NOLLNER HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY OF GALENA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477743755
- **Legal business name:** CITY OF GALENA
- **Authorized official:** MS. KIM L. WOLF (FINANCE MANAGER)
- **Authorized official phone:** (907) 656-2489

## Contact information

- **Practice address:** 77 ANTOSKI, GALENA, AK 99741-0077
- **Practice address phone:** (907) 656-2366
- **Practice address fax:** (907) 656-3122
- **Mailing address:** PO BOX 77, GALENA, AK 99741-0077
- **Mailing address phone:** (907) 656-2366
- **Mailing address fax:** (907) 656-3122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 261QR1100X | Research Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 11/10/2008