Organization · Type 2 NPI
Alice Shantz
Lodging Provider · Bethel, AK
NPI number
1013137348
Active
Practice location
473 Ridgecrest Drive, Box 1915
Bethel, AK 99559-1915
Fax (907) 543-1443
Mailing address
PO Box 1915, 473 Ridgecrest Drive
Bethel, AK 99559-1915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | 432920 (AK) |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1013137348
Alice Shantz's National Provider Identifier is 1013137348, issued on Apr 27, 2007. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Bethel, AK. The record was last updated on Sep 20, 2007.