# WHALE TAIL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639802390
- **Authorized official:** JULIE MCDONALD (AO/OWNER)
- **Authorized official phone:** (907) 826-5753

## Contact information

- **Practice address:** 333 COLD STORAGE RD, SUITE 709, CRAIG, AK 99921
- **Practice address phone:** (907) 826-5753
- **Mailing address:** PO BOX 709, CRAIG, AK 99921-0709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/08/2022
- **Last updated:** 07/12/2022