Organization
GT SUMMIT GROUP LLC
Active
Other names
SAPPHIRE HEALTHCARE TRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
HARLAN ROBERT GONZALES (OWNER)
(917) 582-5952
Entity
Organization
Contact information
Practice address
8600 WILLIWA AVE, ANCHORAGE, AK 99504-4251
(907) 575-2222
Mailing address
8600 WILLIWA AVE, ANCHORAGE, AK 99504-4251
(907) 575-2222
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2089504
AK LICENSE #
AK
Enumeration date
12/02/2019
Last updated
12/02/2019
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