National Provider Identifier Database

EDGAR NOLLNER HEALTH CENTER
Community Health


Contact Information

EDGAR NOLLNER HEALTH CENTER
77 ANTOSKI
GALENA, AK99741-0077
Phone: 907-656-2366
Fax: 907-656-3122
Website:
Specialty Taxonomy Code
* Community Health 261QC1500X
Family 363LF0000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Physician Assistant 363A00000X
Rehabilitation, Substance Use Disorder 261QR0405X
Research 261QR1100X

* Indicates primary specialty

NPI Profile & details for EDGAR NOLLNER HEALTH CENTER

NPI Number 1477743755
Legal business name
LBN
EDGAR NOLLNER HEALTH CENTER
Authorized official KIM WOLF - (FINANCE MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 08/01/2007
Last updated 11/10/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AK Medicaid: CL4429

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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