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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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