Provider Demographics
NPI:1518158245
Name:NORTON SOUND REGIONAL HOSPITAL
Entity Type:Organization
Organization Name:NORTON SOUND REGIONAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VILLAGE COUSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELVINA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:CDCI RHS
Authorized Official - Phone:907-624-3058
Mailing Address - Street 1:POBOX205
Mailing Address - Street 2:
Mailing Address - City:UNALAKLEET
Mailing Address - State:AK
Mailing Address - Zip Code:99684
Mailing Address - Country:US
Mailing Address - Phone:907-624-3058
Mailing Address - Fax:907-624-3049
Practice Address - Street 1:3RD AVE
Practice Address - Street 2:
Practice Address - City:UNALAKLEET
Practice Address - State:AK
Practice Address - Zip Code:99684
Practice Address - Country:US
Practice Address - Phone:907-624-3058
Practice Address - Fax:907-624-3049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK101Y0000X324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility