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CITY OF GALENA

Federally Qualified Health Center (FQHC) >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1285898478

Organizational Registrant:
Organization Name:  CITY OF GALENA
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

Contact information for business:
77 ANTOSKI AVE #251 GALENA, AK 99741-0077 US
Tel: 907-656-2366  Fax: 907-656-1525

Registration Information:
NPI: 1285898478
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QF0400XAmbulatory Health Care Facilities
Clinic/Center
Federally Qualified Health Center (FQHC)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CL4429AK05




HEALTH CARE JOBS AK - Page 1



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