Provider Demographics
NPI:1669617346
Name:ALEUTIANS EAST BOROUG
Entity type:Organization
Organization Name:ALEUTIANS EAST BOROUG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-274-7555
Mailing Address - Street 1:3380 C ST STE 205
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3952
Mailing Address - Country:US
Mailing Address - Phone:907-274-7555
Mailing Address - Fax:907-276-7569
Practice Address - Street 1:3380 C ST STE 205
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3952
Practice Address - Country:US
Practice Address - Phone:907-274-7555
Practice Address - Fax:907-276-7569
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK3416S0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416S0300XTransportation ServicesAmbulanceWater Transport