Edgar Nollner Health Center

LBN: Edgar Nollner Health Center
Edgar Nollner Health Center is an health care organization with primary practice located at 77 Antoski , Galena AK 99741-0077. The organization recently has 6 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Research, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Edgar Nollner Health Center can be contacted via phone (907) 656-2366, or through Wolf, Kim L. via phone (907) 656-2489.

Contact Information

Primary practice address
77 Antoski Galena AK 99741-0077
Phone: (907) 656-2366
Fax: (907) 656-3122
Website:
Map and Directions
Authorized official contact:
Name: Wolf, Kim L.
Phone: (907) 656-2489

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Ambulatory Health Care Facilities / Research 261QR1100X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1477743755
LBN Legal business name Edgar Nollner Health Center
DBA Doing business as
Authorized official Wolf, Kim L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 1st, 2007
Last updated Nov 10th, 2008 - about 17 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 1477743755 NPPES
Alaska MEDICAID CL4429

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