Organization
COPPER RIVER EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Active
Organization
COPPER RIVER EMERGENCY MEDICAL SERVICES COUNCIL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A ABBOTT R.N., EMT-1 (ADMINISTRATOR)
(907) 822-3671
Entity
Organization
Contact information
Practice address
MILE 187 GLENN HWY, BOX 529, GLENNALLEN, AK 99588-0529
(907) 822-3671
(907) 822-5170
Mailing address
PO BOX 529, MILE 187 GLENN HWY, GLENNALLEN, AK 99588-0529
(907) 822-3671
(907) 822-5170
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0300
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GA6070
—
AK
Enumeration date
05/14/2007
Last updated
09/15/2010
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