Organization
SPIRIT SENT HEALTH CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA M SPOFFORD ANP (PRESIDENT/CLINICIAN)
(907) 843-1966
Entity
Organization
Contact information
Practice address
3819 COUMBINE CIRCLE, DILLINGHAM, AK 99576-0577
(907) 843-1966
Mailing address
PO BOX 577, DILLINGHAM, AK 99576-0577
(907) 843-1966
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
985585
AK
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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