Organization Name: | COPPER RIVER EMERGENCY MEDICAL SERVICES COUNCIL, INC. |
NPI Number: | 1477769057 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID A ABBOTT (ADMINISTRATOR) |
Mailing Address: | Mile 187 Glenn Hwy Box 529 Glennallen |
State: | AK US |
Postal Code: | 995880529 |
Phone Number: | 9078223671 |
Fax Number: | 9078225170 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |