KETCHIKAN GATEWAY BOROUGH NPI 1053458257

NPI Information

  • NPI: 1053458257
  • Provider Name: KETCHIKAN GATEWAY BOROUGH
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Address: 1900 1ST AVE
    SUITE 118
    KETCHIKAN, AK
    ZIP 99901
  • Phone: (907) 247-5521

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

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
13416L0300XAmbulanceLand Transport2025ALASKAYes

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
1GA4626MEDICAIDALASKA
2K153303MEDICARE PINALASKA

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: 11/21/2025

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