Provider Demographics
NPI:1588767578
Name:NATIONAL PARK SERVICE
Entity type:Organization
Organization Name:NATIONAL PARK SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BRANCH CHIEF OF EMERGENCY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-638-7792
Mailing Address - Street 1:13461 SUNRISE VALLEY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-3283
Mailing Address - Country:US
Mailing Address - Phone:833-469-7789
Mailing Address - Fax:952-985-5671
Practice Address - Street 1:3 CLINIC RD
Practice Address - Street 2:
Practice Address - City:GRAND CANYON
Practice Address - State:AZ
Practice Address - Zip Code:86023-0129
Practice Address - Country:US
Practice Address - Phone:928-638-7792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NOT REQUIRED3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ853376Medicaid
AZ853376Medicaid