| NPI | 1417076969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 284300000X Special Hospital (Licence: AK 20467) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2023-09-01 |