Organization
DAHL MEMORIAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT WALL (EXECUTIVE DIRECTOR)
(907) 983-2255
Entity
Organization
Contact information
Practice address
350 14TH AVE, SKAGWAY, AK 99840
(907) 983-2255
(907) 983-2739
Mailing address
PO BOX 537, SKAGWAY, AK 99840-0537
(907) 983-2255
(907) 983-2739
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2209739
BUSINESS LICENSE
AK
Enumeration date
01/23/2025
Last updated
07/30/2025
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