Organization
EASTERN ALEUTIAN TRIBES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER DAHLE HARRISON (CEO)
(907) 277-1440
Entity
Organization
Contact information
Practice address
65 AIRPORT ROAD, COLD BAY, AK 99571
(907) 532-2000
(907) 532-2001
Mailing address
3380 C STREET, SUITE 100, ANCHORAGE, AK 99503
(907) 277-1440
(907) 277-1436
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
AK
261QC1500X
Community Health Clinic/Center
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL6515
—
AK
Enumeration date
12/15/2006
Last updated
05/18/2018
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