NPI: 1295127694
Provider Name: STATE OF ALASKA
Doing Business As: SECTION OF PUBLIC HEALTH NURSING
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization
Specialization: Public Health, State or Local
CLIA Number: 02D0724507
Address:
3601 C ST
SUITE 760
ANCHORAGE, AK
ZIP 99503
Phone: (907) 334-2283
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STATE OF ALASKA is a public health and state or local clinic center in Anchorage, AK. STATE OF ALASKA NPI is 1295127694. The provider is registered as an organization entity type.
The provider Is Doing Business As Section Of Public Health Nursing.
The provider's business location address is:
3601 C ST
SUITE 760
ANCHORAGE, AK
ZIP 99503-923
Phone: (907) 334-2283
The provider's authorized official is Linda Kay Worman .
The authorized official title is Chief Public Health Nurse and has the following contact phone number (907) 334-2283.
The CLIA number assigned to this NPI record is 02D0724507 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 2/23/2015 and was last updated on 2/23/2015.