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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