Organization
NORTON SOUND HEALTH CORPORATION
Active
Parent organization
TRAVEL BROKER
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRAVEL BROKER
Authorized official
ANGELA F GORN (CEO)
(907) 443-3286
Entity
Organization
Contact information
Practice address
1000 GREG KRUCHECK AVE, NOME, AK 99762-0966
(907) 443-3311
(907) 443-8155
Mailing address
1000 GREG KRUCHECK AVE, NOME, AK 99762-0966
(907) 443-3311
(907) 443-8155
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
155538
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155538
LICENSE
AK
Enumeration date
06/08/2016
Last updated
06/08/2016
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