Electronic Update Request For Org - Alberta Health Services - North Zone

Electronic Update Request - Organization Profile : Alberta Health Services - North Zone

If you require assistance in completing your change request, hover over the input box and a short description of the field usage will display. Inclusive language should be maintained.

Official Name

Alternate Names


Aspen Regional Health Authority (Previous)
Peace Regional Health Authority (Previous)
AHS - North Zone (Other)
Northern Lights Regional Health Authority (Previous)
Peace Health Region (Previous)
Aspen Health Region (Previous)
Northern Lights Health Region (Previous)

Executive Title

Executive Name

Organization Type

Mandate

The address is confidential please indicate changes in comments field at end of form.

Same as the Street Address above

Yes

Use Street Address format

Yes

Delivery Type

Delivery ID

Installation Type

Installation ID

Descriptive Line/Building Name

Suite

Building Number

Street Name

Street Type

Quadrant

City

Province

Postal Code


Toll Free: 811 (Health Link)
Toll Free: 1-855-550-2555 (Patient Relations)
Website: https://ahs.ca
E-Mail: info@albertahealthservices.ca

Is 24 Hour?

Yes

Business Hours of Operation Note

Membership Fees

Membership Fees Note

Geographic Area Served

Geographic Area Note

Contact Name *

Please enter contact name.

Title

Telephone *

Please provide a phone number or email.

Email *

Please provide a valid email.

Comments

If No Changes Required to the record, select the checkbox and fill out the "Verification Contact Information" above. An email will be sent to confirm submission.

If this submission is successful, and you have provided your email address, you will receive an email confirmation.
If you do not receive this, please contact healthlink@primarycarealberta.ca