Organization
CITY OF BETHEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC JOHNSON (ASSISTANT FINANCE DIRECTOR)
(907) 543-1375
Entity
Organization
Contact information
Practice address
320 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-2131
(907) 543-2702
Mailing address
PO BOX 1388, BETHEL, AK 99559-1388
(907) 543-1375
(907) 543-3817
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
AA0120
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TR0217
—
AK
Enumeration date
03/01/2007
Last updated
03/01/2013
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