Provider Demographics
NPI:1619124377
Name:RAINFOREST PEDIATRIC CARE
Entity Type:Organization
Organization Name:RAINFOREST PEDIATRIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOY
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEYHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-463-1210
Mailing Address - Street 1:3268 HOSPITAL DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-7808
Mailing Address - Country:US
Mailing Address - Phone:907-463-1210
Mailing Address - Fax:907-463-1213
Practice Address - Street 1:3268 HOSPITAL DR
Practice Address - Street 2:SUITE D
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7808
Practice Address - Country:US
Practice Address - Phone:907-463-1210
Practice Address - Fax:907-463-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty