Bore Tide Services, Llc

LBN: Bore Tide Services, Llc
Bore Tide Services, Llc is an health care organization with primary practice located at 22742 Oberg Rd , Chugiak AK 99567-5495. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as the primary health care specialty. Bore Tide Services, Llc can be contacted via phone (907) 854-8452, or through Serie, Dennis S via phone (907) 677-2990.

Contact Information

Primary practice address
22742 Oberg Rd Chugiak AK 99567-5495
Phone: (907) 854-8452
Fax: (907) 222-4641
Website:
Map and Directions
Authorized official contact:
Name: Serie, Dennis S
Phone: (907) 677-2990

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 633 Alaska

Profile Details

NPI number 1831411826
LBN Legal business name Bore Tide Services, Llc
DBA Doing business as
Authorized official Serie, Dennis S
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2010
Last updated Feb 18th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831411826 NPPES
Alaska MEDICAID MDA0081

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