Organization
EDGAR NOLLNER HEALTH CENTER
Active
Parent organization
CITY OF GALENA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF GALENA
Authorized official
MS. KIM L. WOLF (FINANCE MANAGER)
(907) 656-2489
Entity
Organization
Contact information
Practice address
77 ANTOSKI, GALENA, AK 99741-0077
(907) 656-2366
(907) 656-3122
Mailing address
PO BOX 77, GALENA, AK 99741-0077
(907) 656-2366
(907) 656-3122
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL4429
—
AK
Enumeration date
08/01/2007
Last updated
11/10/2008
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