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General NPI Number Information
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NPI Number | 1518955731
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Entity Type | Organization
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Legal Business Name | WRANGELL MEDICAL CENTER
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 12/17/2015
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Provider Practice Location Address
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Address Line | 310 BENNETT STREET
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City | WRANGELL
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State | AK
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Zip | 99929-1081
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Country | US
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Telephone | 907-874-7000
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Fax | 907-874-7122
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Provider Business Mailing Address
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Address Line | PO BOX 1081
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City | WRANGELL
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State | AK
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Zip | 99929-1081
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Country | US
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Telephone | 907-874-7000
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Fax | 907-874-7122
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE COORDINATOR
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Name | ROSE SHYMANSKI
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Credential |
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Telephone | 907-874-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | RPCH-003
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License Number State | AK
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