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Organization

NINILCHIK VILLAGE

Active
Other names
Ninilchik Community Clinic, NTC Community Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IVAN ZANE ENCELEWSKI (EXECUTIVE DIRECTOR)
(907) 567-3313
Entity
Organization

Contact information

Practice address
15765 KINGSLEY ROAD, NINILCHIK, AK 99639-9759
(907) 567-3970
(907) 567-3948
Mailing address
PO BOX 39368, NINILCHIK, AK 99639-0368
(907) 567-3970
(833) 438-1910

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
296082
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CL 2699
AK
Enumeration date
04/19/2007
Last updated
10/15/2025
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