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CITY OF GALENA
Federally Qualified Health Center (FQHC) >> Clinic/Center >> Ambulatory Health Care FacilitiesRegistrant NPI Number: 1285898478
Organizational Registrant:Organization Name: CITY OF GALENA
Organization is not Subpart
Authorized Official: CATHY ANNE DESANTO EXECUTIVE DIRECTOR 907--65-62366
Organization is not Subpart
Authorized Official: CATHY ANNE DESANTO EXECUTIVE DIRECTOR 907--65-62366
Location and contact information for practice:
90 MAIN STREET HUSLIA, AK 99746-0090 US
Tel: 907-829-2281 Fax: 907-829-2203
Tel: 907-829-2281 Fax: 907-829-2203
Contact information for business:
77 ANTOSKI AVE #251 GALENA, AK 99741-0077 US
Tel: 907-656-2366 Fax: 907-656-1525
Tel: 907-656-2366 Fax: 907-656-1525
Registration Information:
NPI: 1285898478
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 261QF0400X | Ambulatory Health Care Facilities Clinic/Center Federally Qualified Health Center (FQHC) |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CL4429 | AK | 05 |
