Organization
GIRDWOOD HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE NIEMI (CFO)
(907) 783-1355
Entity
Organization
Contact information
Practice address
131 LINDBLAD AVENUE, GIRDWOOD, AK 99587
(907) 783-1355
(907) 783-1357
Mailing address
PO BOX 1130, GIRDWOOD, AK 99587-1130
(907) 783-1355
(907) 783-1357
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
AK
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
12/20/2022
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