Provider Demographics
NPI:1184814667
Name:NORTON SOUND HEALTH CORP
Entity Type:Organization
Organization Name:NORTON SOUND HEALTH CORP
Other - Org Name:NORTON SOUND REGIONAL HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:GROUP LIVING TECHNICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:SOPHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NOTHSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:COUNSELOR
Authorized Official - Phone:907-443-4515
Mailing Address - Street 1:515 LOMAN STREET APT. #4
Mailing Address - Street 2:
Mailing Address - City:NOME
Mailing Address - State:AK
Mailing Address - Zip Code:99762
Mailing Address - Country:US
Mailing Address - Phone:907-443-4515
Mailing Address - Fax:907-443-5915
Practice Address - Street 1:305 5TH & BERING STREET
Practice Address - Street 2:
Practice Address - City:NOME
Practice Address - State:AK
Practice Address - Zip Code:99762
Practice Address - Country:US
Practice Address - Phone:907-443-3311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility