Organization
40 MILE AIR LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEIF WILSON (OWNER-PRESIDENT)
(907) 883-5191
Entity
Organization
Contact information
Practice address
1313 ALASKA HIGHWAY, TOK, AK 99780
(907) 883-5191
(907) 883-5194
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7020
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
8375
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000152
—
AK
01
—
P01308364
RAILROAD MC
AK
Enumeration date
11/21/2006
Last updated
12/17/2014
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