Provider Demographics
NPI:1285028068
Name:NORTH SLOPE BOROUGH
Entity Type:Organization
Organization Name:NORTH SLOPE BOROUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAVITT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:907-852-0366
Mailing Address - Street 1:5200 KARLUK STREET
Mailing Address - Street 2:
Mailing Address - City:BARROW
Mailing Address - State:AK
Mailing Address - Zip Code:99723-0096
Mailing Address - Country:US
Mailing Address - Phone:907-852-0270
Mailing Address - Fax:907-852-2855
Practice Address - Street 1:579 KINGOSAK STREET
Practice Address - Street 2:
Practice Address - City:BARROW
Practice Address - State:AK
Practice Address - Zip Code:99723-0096
Practice Address - Country:US
Practice Address - Phone:907-852-0270
Practice Address - Fax:907-852-2855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty