Provider Demographics
NPI:1689379711
Name:CHRISTIAN HEALTH ASSOCIATES
Entity Type:Organization
Organization Name:CHRISTIAN HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL ACCOUNTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPC, CDC
Authorized Official - Phone:907-317-6070
Mailing Address - Street 1:2121 ABBOTT RD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-4450
Mailing Address - Country:US
Mailing Address - Phone:907-802-1500
Mailing Address - Fax:817-977-4688
Practice Address - Street 1:12130 E MAPLE SPRINGS WAY
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-9648
Practice Address - Country:US
Practice Address - Phone:907-802-1500
Practice Address - Fax:817-977-4688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental