Organization
NORTON SOUND HEALTH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GORN (V P HOSPITAL SERVICES)
(907) 443-3311
Entity
Organization
Contact information
Practice address
TELLER CLINIC, MAIN ST, TELLER, AK 99778
(907) 443-3311
(907) 443-6412
Mailing address
PO BOX 966, 306 W 5TH, NOME, AK 99762-0966
(907) 443-3311
(907) 443-6412
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
CL1488
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CL1488
—
AK
Enumeration date
04/02/2007
Last updated
08/22/2020
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