Organization
JUNEAU FAMILY HEALTH AND BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADISON NOLAN CDM (CLINICAL DIRECTOR)
(907) 586-1203
Entity
Organization
Contact information
Practice address
1601 SALMON CREEK LN, JUNEAU, AK 99801-7867
(907) 586-1203
Mailing address
1601 SALMON CREEK LN, JUNEAU, AK 99801-7867
(907) 586-1203
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
FBC001
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NOT APPLICABLE
NONE
—
Enumeration date
02/11/2016
Last updated
02/11/2016
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