Healthcare Provider Details

I. General information

NPI: 1811218019
Provider Name (Legal Business Name): VENTURE TRAVEL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 06/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4085 TONGASS AVE
KETCHIKAN AK
99901-5526
US

IV. Provider business mailing address

4085 TONGASS AVE
KETCHIKAN AK
99901-5526
US

V. Phone/Fax

Practice location:
  • Phone: 907-225-8800
  • Fax: 907-247-4605
Mailing address:
  • Phone: 907-225-8800
  • Fax: 907-247-4605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. GERALD O SALAZAR
Title or Position: PRESIDENT/CEO
Credential:
Phone: 907-225-8800