Provider Demographics
NPI:1467642017
Name:NORTON SOUND HEALTH CORP.
Entity Type:Organization
Organization Name:NORTON SOUND HEALTH CORP.
Other - Org Name:NORTON SOUIND REGIONAL HOSP.
Other - Org Type:Other Name
Authorized Official - Title/Position:COUNSELOR-1
Authorized Official - Prefix:MR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:OTTO
Authorized Official - Last Name:ASHENFELTER
Authorized Official - Suffix:
Authorized Official - Credentials:CCDC-1
Authorized Official - Phone:907-443-3311
Mailing Address - Street 1:305 5TH BERING STREET
Mailing Address - Street 2:P.O. BOX 966
Mailing Address - City:NONE
Mailing Address - State:AK
Mailing Address - Zip Code:99762
Mailing Address - Country:US
Mailing Address - Phone:907-443-3311
Mailing Address - Fax:907-443-5915
Practice Address - Street 1:305 5TH BERING STREET
Practice Address - Street 2:
Practice Address - City:NONE
Practice Address - State:AK
Practice Address - Zip Code:99762
Practice Address - Country:US
Practice Address - Phone:907-443-3311
Practice Address - Fax:907-443-5915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2273283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital