Organization
ALEUTIAN PRIBILOF ISLANDS ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIMITRI PHILEMONOF (PRESIDENT/CEO)
(907) 276-2700
Entity
Organization
Contact information
Practice address
34 LAVELL CT, OONALASKA WELLNESS CENTER, UNALASKA, AK 99685
(907) 581-2742
(907) 581-2040
Mailing address
1131 E INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1408
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL1516
—
AK
Enumeration date
06/21/2006
Last updated
09/10/2010
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