Organization
CHUGACHMIUT
Active
Other names
Chugachmiut Regional Health Center, North Star Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY BAKER (HEALTH SERVICES DIVISION DIRECTOR)
(907) 562-4155
Entity
Organization
Contact information
Practice address
2035 SEWARD HIGHWAY, SEWARD, AK 99664
(907) 224-4925
(907) 224-4933
Mailing address
1840 BRAGAW ST STE 110, ANCHORAGE, AK 99508-3463
(907) 562-4155
(907) 563-2891
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003824
—
AK
Enumeration date
07/20/2007
Last updated
03/24/2025
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