Organization
CHICKALOON NATIVE VILLLAGE
Active
Other names
Chickaloon Village Traditional Council
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA NICOLE CHRISTIANSEN (CLINIC MANAGER)
(907) 745-0704
Entity
Organization
Contact information
Practice address
16166 NORTH GLEN HIGHWAY, MILE 61.5 GLEN HIGHWAY, SUTTON, AK 99674-1105
(907) 745-0704
(907) 745-0708
Mailing address
PO BOX 1105, CHICKALOON, AK 99674-1105
(907) 745-0704
(907) 745-0708
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
AK
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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