FRONT STREET HEALTH CENTER NPI 1205255957

NPI Information

FRONT STREET HEALTH CENTER is a community health clinic center in Juneau, AK. FRONT STREET HEALTH CENTER NPI is 1205255957. The provider is registered as an organization entity type.
The provider Is Doing Business As Front Street Community Health Center.

The provider's business location address is:

225 FRONT ST STE 202
JUNEAU, AK
ZIP 99801-244
Phone: (907) 463-4201
Fax: (907) 463-6617

The provider's authorized official is Janna Brewster .
The authorized official title is Medical Provider/executive Director and has the following contact phone number (907) 463-4201.

The CLIA number assigned to this NPI record is 02D1014843 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/9/2014 and was last updated on 4/9/2014.

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:

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