Provider Demographics
NPI:1982371571
Name:WHITESTONE COMMUNITY ASSOCIATION
Entity Type:Organization
Organization Name:WHITESTONE COMMUNITY ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MACIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-803-3060
Mailing Address - Street 1:PO BOX 1229
Mailing Address - Street 2:
Mailing Address - City:DELTA JUNCTION
Mailing Address - State:AK
Mailing Address - Zip Code:99737-1229
Mailing Address - Country:US
Mailing Address - Phone:907-803-3060
Mailing Address - Fax:
Practice Address - Street 1:6003 RIVER ROAD -1229
Practice Address - Street 2:
Practice Address - City:DELTA JUNCTION
Practice Address - State:AK
Practice Address - Zip Code:99737-1229
Practice Address - Country:US
Practice Address - Phone:907-895-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHITESTONE COMMUNITY ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance