Organization
BETHEL FAMILY CLINIC
Active
Organization
BETHEL FAMILY CLINIC
Active
Parent organization
BETHEL FAMILY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHEL FAMILY CLINIC
Authorized official
SUZANNE NIEMI (FINANCE)
(907) 543-9852
Entity
Organization
Contact information
Practice address
430 MAIN STREET, BETHEL, AK 99559-1908
(907) 543-3773
Mailing address
PO BOX 1908, BETHEL, AK 99559-1908
(907) 543-3773
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
11/28/2018
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