| Organization Name: | NINILCHIK EMERGENCY SERVICES |
| NPI Number: | 1053302620 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LLOYD W. TAGGART (TREASURER) |
| Mailing Address: | 15763 Kingsley Rd Ninilchik |
| State: | AK US |
| Postal Code: | 996399759 |
| Phone Number: | 9075671098 |
| Fax Number: | 9075671098 |
| NPI Enumeration Date: | 11/02/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 5095 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |