Organization
BRISTOL BAY BOROUGH
Active
Organization
BRISTOL BAY BOROUGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCOTT (FINANCE OFFICER)
(907) 246-4224
Entity
Organization
Contact information
Practice address
MILE 0 AK PENINSULA HWY, NAKNEK, AK 99633
(907) 246-4224
(907) 246-6633
Mailing address
PO BOX 189, NAKNEK, AK 99633-0189
(907) 246-4224
(907) 246-6633
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609363
—
AK
Enumeration date
04/24/2013
Last updated
08/08/2014
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