Healthcare Provider Details

I. General information

NPI: 1295988491
Provider Name (Legal Business Name): EASTERN ALEUTIAN TRIBES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2008
Last Update Date: 10/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AIRPORT RD
COLD BAY AK
99571
US

IV. Provider business mailing address

3380 C STREET STE. 100
ANCHORAGE AK
99503
US

V. Phone/Fax

Practice location:
  • Phone: 907-532-2000
  • Fax: 907-532-2001
Mailing address:
  • Phone: 907-277-1440
  • Fax: 907-277-1446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. PATTY LINDUSKA
Title or Position: CEO
Credential:
Phone: 907-277-1440