Provider Demographics
NPI:1609250745
Name:METLAKATLA INDIAN COMMUNITY
Entity Type:Organization
Organization Name:METLAKATLA INDIAN COMMUNITY
Other - Org Name:METLAKATLA VOLUNTEER FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:P
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-283-0385
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:METLAKATLA
Mailing Address - State:AK
Mailing Address - Zip Code:99926-0008
Mailing Address - Country:US
Mailing Address - Phone:907-886-4441
Mailing Address - Fax:907-886-4471
Practice Address - Street 1:4TH & AURIEL ST.
Practice Address - Street 2:
Practice Address - City:METLAKATLA
Practice Address - State:AK
Practice Address - Zip Code:99926
Practice Address - Country:US
Practice Address - Phone:907-886-7922
Practice Address - Fax:907-886-7923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-18
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
No3416S0300XTransportation ServicesAmbulanceWater Transport