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Organization

NORTH SLOPE BOROUGH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY HOFFBECK (CHIEF OF STAFF)
(907) 852-2611
Entity
Organization

Contact information

Practice address
1274 AGVIQ STREET, BARROW, AK 99723
(907) 852-0362
(907) 852-7965
Mailing address
1274 AGVIK STREET, BARROW, AK 99723
(907) 852-0362
(907) 852-7965

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
800203AK
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DA2378
AK
05
MH2378
AK
Enumeration date
11/21/2006
Last updated
06/07/2012
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