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NPI 1053458257 · live from the CMS NPI Registry

Ketchikan Gateway Borough

Ambulance, Land Transport in Ketchikan, AK. National Provider Identifier 1053458257, active.

NPI record

NPI1053458257 Type 2 · organization
StatusActive
Primary specialtyAmbulance, Land Transport 3416L0300X
Practice location1900 1st Ave, Suite 118, Ketchikan, AK 99901
Practice phone907-247-5521
Mailing addressPo Box 3510, Silverdale, WA 98383
EnumeratedJanuary 30, 2007
Last updatedNovember 20, 2012
Authorized officialCharlanne Thomas, Bourough Treasurer

Taxonomies and licenses

TaxonomyCodeLicense
Ambulance, Land Transport primary3416L0300X2025 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.