Organization Name: | CHUGACHMIUT |
NPI Number: | 1194889287 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RHONDA E MILTON (BILLING TECHNICIAN) |
Mailing Address: | 201 3rd Ave Suite 201 Seward |
State: | AK US |
Postal Code: | 996642088 |
Phone Number: | 9072243490 |
Fax Number: | 9072245870 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |