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Contact Information

EDGAR NOLLNER HEALTH CENTER
77 ANTOSKI
GALENA, AK99741-0077
 Phone: 907-656-2366
 Fax: 907-656-3122
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health

261QC1500X
 

Family

363LF0000X 50 Nurse Practitioner
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Rehabilitation, Substance Use Disorder

261QR0405X
 

Research

261QR1100X
Indicates primary specialty

NPI Profile & details for EDGAR NOLLNER HEALTH CENTER

NPI Number 1477743755
LBN Legal business name EDGAR NOLLNER HEALTH CENTER
Authorized official KIM WOLF - (FINANCE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/01/2007
Last updated 11/10/2008 - About 18 years ago
Identifiers
AK Medicaid CL4429
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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