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NPI Code Detail

MEDICARE: NORTON SOUND HEALTH CORP

MEDICARE: NORTON SOUND HEALTH CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QC1500XCommunity Health Clinic/CenterCL1492AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932228814
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTON SOUND HEALTH CORP
Provider Business Mailing Address
First Line : PO BOX 966
Second Line : NORTON SOUND HEALTH CORP
City : NOME
State : AK
Zip : 99762-0966
Country : US
Telephone Number : 907-443-3311
Fax Number : 907-443-6412
Provider Business Practice Location Address
First Line : MAIN ST BOX 85058
Second Line : BREVIG MISSION CLINIC
City : BREVIG MISSION
State : AK
Zip : 99785
Country : US
Telephone Number : 907-443-3311
Fax Number : 907-443-6412
Authorized Official
Title or Position : V P HOSPITAL SERVICES
Name : ANGELA GORN
Credential :
Telephone Number : 907-443-3311
Provider Enumeration Date : 03/29/2007
Last Update Date : 08/22/2020

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Directions to “NORTON SOUND HEALTH CORP ” Practice Location

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