Organization
SELDOVIA VILLAGE TRIBE
Active
Organization
SELDOVIA VILLAGE TRIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY READ (SVTHW DIRECTOR)
(907) 226-2208
Entity
Organization
Contact information
Practice address
880 E END RD, HOMER, AK 99603-7201
(907) 226-2228
(907) 226-2230
Mailing address
880 E END RD, HOMER, AK 99603-7201
(907) 226-2228
(907) 226-2230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000849
—
AK
05
—
1003814
—
AK
Enumeration date
06/30/2006
Last updated
12/23/2019
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