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Contact Information

AHTNA T' AENE NENE'
MP 111.5 RICHARDSON HWY
COPPER CENTER, AK99573-0508
 Phone: 907-822-5241
 Fax: 907-822-8801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for AHTNA T' AENE NENE'

NPI # 1194866871
LBN Legal business name AHTNA T' AENE NENE'
Authorized official NIKKI WIEDLUND - (PATIENT FINANCIAL SERVICES MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2007
Last updated 02/28/2024 - About 2 years ago
Identifiers
AK License # 36087
AK Medicaid DA4434
AK Medicaid MH0641
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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