Basic Information
| Provider Information | |||||||||
| NPI: | 1619561388 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JAMHI HEALTH & WELLNESS, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3406 GLACIER HWY | ||||||||
| Address2: | |||||||||
| City: | JUNEAU | ||||||||
| State: | AK | ||||||||
| PostalCode: | 998017251 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9074633303 | ||||||||
| FaxNumber: | 9074636858 | ||||||||
| Practice Location | |||||||||
| Address1: | 1944 ALLEN CT STE A | ||||||||
| Address2: | |||||||||
| City: | JUNEAU | ||||||||
| State: | AK | ||||||||
| PostalCode: | 998019598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9074636882 | ||||||||
| FaxNumber: | 9074636858 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2021 | ||||||||
| LastUpdateDate: | 05/06/2022 | ||||||||
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| AuthorizedOfficialLastName: | LINDSEY | ||||||||
| AuthorizedOfficialFirstName: | ERIKA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OPERATIONS SUPPORT SPECIALIST | ||||||||
| AuthorizedOfficialTelephone: | 9074636852 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | JAMHI HEALTH & WELLNESS, INC | ||||||||
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| NPICertificationDate: | 05/06/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | 261QF0400X | Y | Ambulatory Health Care Facilities | Clinic/Center | Federally Qualified Health Center (FQHC) |
No ID Information.