WILDERNESS MEDICAL RELIEF LLC; NPI #1477138196

Contact Information

WILDERNESS MEDICAL RELIEF LLC

403 HILLTOP DR
CRAIG, AK 99921

Phone: 360-770-6924
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for WILDERNESS MEDICAL RELIEF LLC

NPI Number	`1477138196`
LBN Legal business name	WILDERNESS MEDICAL RELIEF LLC
Authorized official	KENNETH WALLENFELSZ - (OWNER/MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/15/2021
Last updated	03/15/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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