NPI 1104275189

Thomas Jackon, COMMUNITYHEALTHAIDE

Practitioner Community Health Worker Kotzebue, AK

Practice location

Address: 436 5th Ted Stevens Way Maniilaq Health Center, Kotzebue, AK 99752
Phone: (907) 442-7162
Mailing address: PO Box 43 Maniilaq Association, Noatak, AK 99752

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Alaska →

Registry record

NPI: 1104275189
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2016
Record last updated: 9 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.