Organization
EASTERN ALEUTIAN TRIBES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CHRISTENSEN (EXECUTIVE DIRECTOR)
(907) 277-1440
Entity
Organization
Contact information
Practice address
172 MAIN ST, SAND POINT, AK 99661
(907) 383-3151
(907) 383-6074
Mailing address
3380 C ST., SUITE 100, ANCHORAGE, AK 99503-3949
(907) 277-1440
(907) 277-1446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
AK
172V00000X
Community Health Worker
Primary
—
AK
261QC1500X
Community Health Clinic/Center
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL1391
—
AK
Enumeration date
10/24/2006
Last updated
10/26/2010
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