# CHUGACHMIUT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Tatitlek Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801067723
- **Authorized official:** KELLEY BAKER (HEALTH SERVICES DIVISION DIRECTOR)
- **Authorized official phone:** (907) 562-4155

## Contact information

- **Practice address:** 505 COPPER MOUNTAIN STREET, TATITLEK, AK 99677
- **Practice address phone:** (907) 325-2235
- **Practice address fax:** (907) 325-2350
- **Mailing address:** 1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463
- **Mailing address phone:** (907) 562-4155
- **Mailing address fax:** (907) 563-2891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 09/22/2022