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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