MATANUSKA SUSITNA BOROUGH NPI 1861482903

NPI Information

NPI: 1861482903
Provider Name: MATANUSKA SUSITNA BOROUGH

Former Legal Business Name: MATANUSKA SUSITNA BOROUGH AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
350 E DAHLIA AVE
PALMER, AK
ZIP 99645
Phone: (907) 745-9564
Get Directions

MATANUSKA SUSITNA BOROUGH is a land transport ambulance in Palmer, AK. MATANUSKA SUSITNA BOROUGH NPI is 1861482903. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Matanuska Susitna Borough Ambulance.

The provider's business location address is:

350 E DAHLIA AVE
PALMER, AK
ZIP 99645-411
Phone: (907) 745-9564
Fax: (907) 745-9566

The provider's authorized official is John Moosey .
The authorized official title is Borough Manager and has the following contact phone number (907) 745-9689.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 12/10/2012.

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	0425	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	K0000RGBKS	MEDICARE ID-TYPE UNSPECIFIED	ALASKA
2	TRO688	MEDICAID	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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