KETCHIKAN GATEWAY BOROUGH; NPI #1053458257

Contact Information

KETCHIKAN GATEWAY BOROUGH

1900 1ST AVE
SUITE 118
KETCHIKAN, AK 99901

Phone: 907-247-5521
Fax: 907-247-6625
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for KETCHIKAN GATEWAY BOROUGH

NPI # 1053458257

LBN Legal business name KETCHIKAN GATEWAY BOROUGH

Authorized official CHARLANNE THOMAS - (BOUROUGH TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/30/2007

Last updated 11/20/2012 - About 14 years ago

Identifiers

AK	License #	2025
AK	Medicaid	GA4626

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KETCHIKAN GATEWAY BOROUGH

Contact Information

Specialty

Land Transport

NPI Profile & details for KETCHIKAN GATEWAY BOROUGH

Reviews for KETCHIKAN GATEWAY BOROUGH