Organization
ALEUTIAN PRIBILOF ISLANDS ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIMITRI PHILEMONOF (PRESIDENT/CEO)
(907) 276-2700
Entity
Organization
Contact information
Practice address
934 MAIN STREET, ST. GEORGE, AK 99591
(907) 859-2254
(907) 859-2252
Mailing address
1131 E. INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518
(907) 276-2700
(907) 279-4351
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
261QC1500X
Community Health Clinic/Center
—
AK
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL0005
—
AK
05
—
CLOOO5
—
AK
Enumeration date
12/15/2006
Last updated
01/23/2014
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