Organization Name: | NORTON SOUND HEALTH CORP |
NPI Number: | 1306969647 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA GORN (V P HOSPITAL SERVICES) |
Mailing Address: | 5th And Division Bhs Nome |
State: | AK US |
Postal Code: | 99762 |
Phone Number: | 9074433311 |
Fax Number: | 9074436412 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | DA4488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |