CHUGACHMIUT NPI 1316147069

NPI Information

NPI: 1316147069
Provider Name: CHUGACHMIUT

Doing Business As: NORTH STAR DENTAL CLINIC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
201 3RD AVENUE SUITE 115
SEWARD, AK
ZIP 99664
Phone: (907) 224-4925
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CHUGACHMIUT is a dental clinic center in Seward, AK. CHUGACHMIUT NPI is 1316147069. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Star Dental Clinic.

The provider's business location address is:

201 3RD AVENUE SUITE 115
SEWARD, AK
ZIP 99664
Phone: (907) 224-4925
Fax: (907) 224-4933

The provider's authorized official is Kelley Baker .
The authorized official title is Health Services Division Director and has the following contact phone number (907) 562-4155.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 12/16/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist				No
2	261QD0000X	Clinic/Center	Dental			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1003824	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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