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Girdwood Clinic, Inc.

Girdwood Clinic, Inc. is a health care provider in Girdwood, AK. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location Lot 17 Block 1, New Girdwood Town Site, Girdwood, AK 99587, US
Practice Location Phone907-783-1355
Practice Location Fax907-783-1357
Legal Business NameGIRDWOOD CLINIC, INC.
NPI ?1083657712
Entity TypeOrganization
Enumeration Date ? Jun 13, 2006
Last Update Date ? Jul 9, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Girdwood Clinic, Inc.

SpecialtySpecializationLicenseLicense State
Nurse Practitioner

legacy-id-icon Legacy Provider IDs of Girdwood Clinic, Inc.

Provider IdIssuer StateIssuer TypeIssuer
MS5623AlaskaMedicaid

official-icon Authorized Official of Girdwood Clinic, Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Girdwood Clinic, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Kerry L Dorius (ANP)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number907-783-1355