# CHILKAT VALLEY MEDICAL CENTER, INC

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

## Provider details

- **NPI number:** 1659570414
- **Authorized official:** MR. DAVID F. KEIRSTEAD (PRESIDENT)
- **Authorized official phone:** (907) 766-3701

## Contact information

- **Practice address:** 138 SECOND AVE. S, HAINES, AK 99827-0389
- **Practice address phone:** (907) 766-3701
- **Practice address fax:** (907) 766-3709
- **Mailing address:** PO BOX 389, HAINES, AK 99827-0389
- **Mailing address phone:** (907) 766-3701
- **Mailing address fax:** (907) 766-3709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 905468 | AK | Yes |

## Other

- **Enumeration date:** 07/12/2007
- **Last updated:** 07/12/2007