Organization
CITY OF GALENA
Active
Other names
Edgar Nollner Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY ANNE DESANTO ANP (EXECUTIVE DIRECTOR)
(907) 656-2366
Entity
Organization
Contact information
Practice address
10 MAIN STREET, NULATO, AK 99765-0010
(907) 898-2209
(907) 898-2304
Mailing address
77 ANTOSKI AVENUE, GALENA, AK 99741-0077
(907) 656-2366
(907) 656-1525
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL4429
—
AK
Enumeration date
07/16/2008
Last updated
07/16/2008
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