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Contact Information

PETERSBURG BOROUGH
1200 HAUGEN DRIVE
PETERSBURG, AK99833
 Phone: 907-772-3355
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for PETERSBURG BOROUGH

NPI # 1689721144
LBN Legal business name PETERSBURG BOROUGH
Authorized official JODY TOW - (FINANCE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2007
Last updated 04/16/2013 - About 13 years ago
Identifiers
AK License # 5005
AK Medicaid GA5005
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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