Provider Demographics
NPI:1265727770
Name:US DEPT OF THE INTERIOR NATIONAL PARK SERVICE
Entity type:Organization
Organization Name:US DEPT OF THE INTERIOR NATIONAL PARK SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-608-6205
Mailing Address - Street 1:555 S STATE ROUTE 64
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WILLIAMS
Mailing Address - State:AZ
Mailing Address - Zip Code:86046-5013
Mailing Address - Country:US
Mailing Address - Phone:928-679-2171
Mailing Address - Fax:866-248-1073
Practice Address - Street 1:691 SCENIC VIEW ROAD
Practice Address - Street 2:
Practice Address - City:PAGE
Practice Address - State:AZ
Practice Address - Zip Code:86040
Practice Address - Country:US
Practice Address - Phone:928-608-6205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-13
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No3416S0300XTransportation ServicesAmbulanceWater Transport