Organization
AHTNA T' AENE NENE'
Active
Organization
AHTNA T' AENE NENE'
Active
Other names
Ahtna T' Aene Nene', COPPER RIVER NATIVE ASSOCIATION
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI R WIEDLUND (SENIOR PFS)
(907) 206-6812
Entity
Organization
Contact information
Practice address
MILE 111.5 RICHARDSON HWY, COPPER CENTER, AK 99573
(907) 822-5241
(907) 822-8804
Mailing address
PO BOX 383, GLENNALLEN, AK 99588-0383
(907) 822-5241
(907) 822-8804
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
S2312
AK
Other
Enumeration date
03/11/2010
Last updated
11/22/2024
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