Bethel Family Clinic

LBN: Bethel Family Clinic
Bethel Family Clinic is an health care organization with primary practice located at 631 Main Street , Bethel AK 99559-1908. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Bethel Family Clinic can be contacted via phone (907) 543-3773, or through Niemi, Suzanne via phone (907) 543-9852.

Contact Information

Primary practice address
631 Main Street Bethel AK 99559-1908
Phone: (907) 543-3773
Fax: (907) 543-3545
Website:
Map and Directions
Authorized official contact:
Name: Niemi, Suzanne
Phone: (907) 543-9852

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1124078019
LBN Legal business name Bethel Family Clinic
DBA Doing business as
Authorized official Niemi, Suzanne
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Nov 27th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124078019 NPPES
Alaska MEDICAID 1029936
Alaska Other 02-1835

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