Organization Name: | NATIVE VILLAGE OF EKLUTNA |
NPI Number: | 1891930699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIOLET FRANCES RICE (HEALTH DIRECTOR/PROVIDER) |
Mailing Address: | 26339 Eklutna Village Rd. Chugiak |
State: | AK US |
Postal Code: | 995670666 |
Phone Number: | 9076886031 |
Fax Number: | 9076886032 |
NPI Enumeration Date: | 12/08/2008 |
NPI Last Update Date: | 04/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |