Organization
ALASKA FAITH MINISTRIES LLC
Active
Other names
North Country Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN GALLAGHER (CEO)
(907) 822-5686
Entity
Organization
Contact information
Practice address
53 MILE TOK CUTOFF, GAKONA, AK 99586-9702
(907) 822-3937
(907) 822-3937
Mailing address
PO BOX 5, GLENNALLEN, AK 99588-0589
(907) 822-3203
(907) 822-5805
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1037992
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666871
—
AK
Enumeration date
05/21/2012
Last updated
03/29/2021
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