City of Nome

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6040 Issued in AK

Legal business name

CITY OF NOME

Practice address

102 Greg Kruschek Ave
Nome, AK 99762

Phone

(907) 443-8521

NPI assigned

Feb 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas C Moran

Title

City Manager

Phone

(907) 443-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nome Volunteer Ambulance Department Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1013059997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7010",
            "fax_number": "360-394-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GREG KRUSCHEK AVE",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "907-443-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "907-443-6600"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "6040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031456",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nome Volunteer Ambulance Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ronda Elaine Burnett
• Martha Butler
• Darien Lamont Campbell, PHARMD
• Shellene Castleman
• Aura Chasteen
• Bobbi Jo Conner, RN
• William Michael Cox, MD
• Barbara Lee Cromwell, RN, SANE-A
• Teresa Jane Cross, CT
• Emily Crysel

• Land Ambulance in Nome, AK
• Providers in Nome, AK by specialty
• Land Ambulance in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.