Provider Demographics
NPI:1346634508
Name:NORTH SLOPE BOROUGH
Entity Type:Organization
Organization Name:NORTH SLOPE BOROUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL BILLING AGENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:IMLER
Authorized Official - Suffix:
Authorized Official - Credentials:
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:
Mailing Address - Fax:
Practice Address - Street 1:5200 KARLUK 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:907-852-0366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK25996163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty