Organization
EDGER NOLLNER HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM WOLF (FINANCE DIRECTOR)
(907) 656-2489
Entity
Organization
Contact information
Practice address
77 ANTOSKI AVE., GALENA, AK 99741
(907) 656-2489
(907) 656-1769
Mailing address
149 ANSOSKI AVE., GALENA, AK 99741
(907) 656-2489
(907) 656-1769
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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