KETCHIKAN GATEWAY BOROUGH NPI 1053458257

NPI Information

NPI: 1053458257
Provider Name: KETCHIKAN GATEWAY BOROUGH
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1900 1ST AVE
SUITE 118
KETCHIKAN, AK
ZIP 99901
Phone: (907) 247-5521
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KETCHIKAN GATEWAY BOROUGH is a land transport ambulance in Ketchikan, AK. KETCHIKAN GATEWAY BOROUGH NPI is 1053458257. The provider is registered as an organization entity type.

The provider's business location address is:

1900 1ST AVE
SUITE 118
KETCHIKAN, AK
ZIP 99901
Phone: (907) 247-5521
Fax: (907) 247-6625

The provider's authorized official is Charlanne Thomas .
The authorized official title is Bourough Treasurer and has the following contact phone number (907) 228-6613.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 11/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	2025	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GA4626	MEDICAID	ALASKA
2	K153303	MEDICARE PIN	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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