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Chickaloon Native Villlage

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

physician-icon Basic Information

Practice Location 16166 North Glen Highway, Mile 61.5 Glen Highway, Sutton, AK 99674-1105, US
Practice Location Phone907-745-0704
Practice Location Fax907-745-0708
Legal Business NameCHICKALOON NATIVE VILLLAGE
Other Organization NameCHICKALOON VILLAGE TRADITIONAL COUNCIL
Other Organization Name TypeDoing Business As Name
NPI ?1619267937
Entity TypeOrganization
Enumeration Date ? Apr 8, 2011
Last Update Date ? Apr 8, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Chickaloon Native Villlage

SpecialtySpecializationLicenseLicense State
Clinic/CenterCommunity Health Alaska

official-icon Authorized Official of Chickaloon Native Villlage

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

Authorized Official Mrs. Amanda Nicole Christiansen
Authorized Official Title/PositionCLINIC MANAGER
Authorized Official Phone Number907-745-0704