# NATIVE VILLAGE OF TYONEK

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

## Provider details

- **NPI number:** 1689925463
- **Authorized official:** MR. DAVID MATTHEW ROGERS (TRIBAL ADMINISTRATOR)
- **Authorized official phone:** (907) 583-2201

## Contact information

- **Practice address:** 73 C STREET, TYONEK, AK 99682
- **Practice address phone:** (907) 583-2461
- **Practice address fax:** (907) 583-2155
- **Mailing address:** PO BOX 82009, TYONEK, AK 99682-0009
- **Mailing address phone:** (907) 583-2461
- **Mailing address fax:** (907) 583-2155

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 261Q00000X | AK | Yes |

## Other

- **Enumeration date:** 09/20/2012
- **Last updated:** 09/20/2012