Organization
SAMUEL SIMMONDS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA VILLANUEVA D.O. (MEDICAL DIRECTOR)
(907) 852-4611
Entity
Organization
Contact information
Practice address
1296 AGVIK STREET, BARROW, AK 99723
(907) 852-4611
Mailing address
1296 AGVIK STREET, P.O. BOX 29, BARROW, AK 99723
(907) 852-4611
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
28849
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS230P
—
AK
Enumeration date
07/23/2008
Last updated
07/23/2008
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