# EAGLE HEALTH ALASKA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EAGLE HEALTH ALASKA, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538772173
- **Authorized official:** DR. ROBIN LYNN NINEFELDT MD (OWNER)
- **Authorized official phone:** (907) 201-1102

## Contact information

- **Practice address:** 2015 MERRILL FIELD DR, ANCHORAGE, AK 99501-4137
- **Practice address phone:** (907) 201-1102
- **Mailing address:** PO BOX 671336, CHUGIAK, AK 99567-1336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/24/2020
- **Last updated:** 08/24/2020