Organization
ALASKA ISLAND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T WALKER MSW (EXECUTIVE DIRECTOR)
(907) 874-4700
Entity
Organization
Contact information
Practice address
NAUKATI COMMUNITY SCHOOL, NAUKATI, AK 99950
(907) 874-4700
(907) 874-4719
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231
(907) 874-4700
(907) 874-4719
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RH543FQ
—
AK
Enumeration date
04/02/2007
Last updated
07/10/2007
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