Organization
NINILCHIK EMERGENCY SERVICES
Active
Organization
NINILCHIK EMERGENCY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD W. TAGGART (TREASURER)
(907) 567-1098
Entity
Organization
Contact information
Practice address
15763 KINGSLEY RD, NINILCHIK, AK 99639-9759
(907) 567-1098
(907) 567-1098
Mailing address
15763 KINGSLEY RD, P.O.BOX 39446, NINILCHIK, AK 99639-9759
(907) 567-1098
(907) 567-1098
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5095
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GA1230
—
AK
Enumeration date
11/02/2005
Last updated
08/22/2020
Update your record
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