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Organization
EAGLE HEALTH ALASKA
Active
Organization
EAGLE HEALTH ALASKA
Active
Other names
EAGLE HEALTH ALASKA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN LYNN NINEFELDT MD (OWNER)
(907) 201-1102
Entity
Organization
Contact information
Practice address
2015 MERRILL FIELD DR, ANCHORAGE, AK 99501-4137
(907) 201-1102
Mailing address
PO BOX 671336, CHUGIAK, AK 99567-1336
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
261QR1300X
Rural Health Clinic/Center
—
NULL
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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