Bal, Inc

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

License

241558 Issued in AK

Legal business name

BAL, INC

Doing business as

Willow Air

Practice address

32250 West Parks Highway
Willow, AK 99688

Phone

(907) 495-6370

Fax

(907) 495-6370

NPI assigned

Oct 22, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Gwendolyn A White

Title

Secretary/Treasure

Phone

(907) 495-6370

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Willow Air Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1265684112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32250 PARKS HIGHWAY",
            "city": "WILLOW",
            "state": "AK",
            "postal_code": "99688",
            "telephone_number": "907-495-6370",
            "fax_number": "907-495-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32250 WEST PARKS HIGHWAY",
            "city": "WILLOW",
            "state": "AK",
            "postal_code": "99688",
            "telephone_number": "907-495-6370",
            "fax_number": "907-495-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SECRETARY/TREASURE",
        "authorized_official_telephone_number": "907-495-6370",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "AK",
            "license": "241558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AL2361",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Air",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Transportation Broker in Willow, AK
• Providers in Willow, AK by specialty
• Transportation Broker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.