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Kenaitze Indian Tribe
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Kenai, Alaska
NPI 1932114600

Kenaitze Indian Tribe is a Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy based in Kenai, AK. Kenaitze Indian Tribe practices in Kenai, AK. The NPI Number for Kenaitze Indian Tribe is 1932114600 and holds a License No. MD2004 (Alaska).

The current practice location address for Kenaitze Indian Tribe is 508 Upland Street, Kenai, AK and can be reached out via phone at 907-335-7550 and via fax at 888-491-3360.

Location: 508 Upland Street, Kenai, AK, 99611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932114600
Provider Name
Kenaitze Indian Tribe
Credential
Provider Entity Type
Organization
Address
508 Upland Street, Kenai, AK, 99611
Phone Number
907-335-7550
Fax Number
888-491-3360
Provider Enumeration Date
07/30/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CL9243 05 AK
institution
Provider Business Practice Location Address Details
Address
508 Upland Street
City
Kenai
State
Alaska
Zip
99611
Phone Number
907-335-7550
Fax Number
888-491-3360
person
Provider Business Mailing Address Details
Address
508 Upland Street
City
Kenai
State
Alaska
Zip
99611
Phone Number
907-335-7550
Fax Number
888-491-3360
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Speciality
-
Taxonomy
332800000X
License No.
MD2004 (Alaska)
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
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