NORTHWAY FAMILY HEALTHCARE NPI 1386398881

NPI Information

NORTHWAY FAMILY HEALTHCARE is a clinic center in Ketchikan, AK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NORTHWAY FAMILY HEALTHCARE NPI is 1386398881. The provider is registered as an organization entity type.

The provider's business location address is:

130 CARLANNA LAKE RD STE 201
KETCHIKAN, AK
ZIP 99901-669
Phone: (907) 225-4325
Fax: (907) 225-4326

The provider's authorized official is Maureen Maka Northway .
The authorized official title is Owner and has the following contact phone number (907) 225-4325.

The CLIA number assigned to this NPI record is 02D2087528 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2022 and was last updated on 2/4/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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