Girdwood Health Clinic, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Girdwood, AK. Organization (NPI-2).
NPI number1851662233
StatusActive
Last updated in NPPESDec 20, 2022
Details
- NPI
- 1851662233
- Entity type
- Organization (NPI-2)
- Legal business name
- Girdwood Health Clinic, INC.
- Organization subpart
- No
- Enumeration date
- Jan 18, 2012
- Certification date
- Dec 20, 2022
- Last updated
- Dec 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 261QC1500X | Clinic/Center, Community Health | – | AK |
Practice location
131 Lindblad AvenueGirdwood, AK 99587
Phone 907-783-1355 · Fax 907-783-1357
Mailing address
Po Box 1130Girdwood, AK 99587-1130
Phone 907-783-1355 · Fax 907-783-1357
Authorized official
Suzanne Niemi
Cfo
9077831355
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