Organization · Type 2 NPI

Chugachmiut

Community Health Clinic/Center · Tatitlek, AK

NPI number 1801067723 Active

Practice location

505 Copper Mountain Street
Tatitlek, AK 99677

Call (907) 325-2235 Map

Fax (907) 325-2350

Mailing address

1840 Bragaw St Ste 110
Anchorage, AK 99508-3463

Specialties and licenses

Taxonomy	Code	License
Community Health Clinic/Center Primary	261QC1500X	None listed

Community Health Clinic/Center: Definition to come...

Another provider at this address

Deserae StellwagCounselor Tatitlek, AK NPI 1477243947

NPI record

NPI: 1801067723
Entity type: Organization (Type 2)
Issued: Mar 19, 2008
Last updated: Sep 22, 2022
Status: Active

Other names

<unavail>
Tatitlek Clinic · doing business as
Tatitlek Clinic · doing business as

Authorized official

Kelley Baker
Health Services Division Director
(907) 562-4155

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1801067723

Chugachmiut's National Provider Identifier is 1801067723, issued on Mar 19, 2008. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Tatitlek, AK. The record was last updated on Sep 22, 2022.