Organization
KODIAK AREA NATIVE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY HANSEN (VP OF HEALTH SERVICES)
(907) 486-9874
Entity
Organization
Contact information
Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9868
(907) 486-9884
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9868
(907) 486-9884
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
15-1364-I
AK
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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