Organization Active NPI

City & Borough of Juneau Alaska

  • Land Ambulance
  • Palmer, AK
National Provider Identifier
1053487025
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
TR0322 Issued in AK
Legal business name
CITY & BOROUGH OF JUNEAU ALASKA
Practice address
610 S Bailey St
Palmer, AK 99645-6330
Phone
(907) 745-0268
Fax
(907) 745-0200
NPI assigned
Nov 28, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Barbara Rolfe
Title
Treasurer
Phone
(907) 586-0375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X TR0322 AK Primary

Addresses

Primary practice location

610 S Bailey St
Palmer, AK 99645-6330

Mailing address

155 S Seward St
Juneau, AK 99801-1332
Phone (907) 586-0375

Other identifiers 1

IdentifierTypeStateIssuer
TR0322MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080523000181 AK Part B Supplier - Ambulance Service Supplier 9032288584 Practice locations: Juneau, AK

National Provider Directory

National Provider Directory

Locations

1016 3rd St
Juneau, AK 99824
Phone (907) 586-0262

11900 Glacier Hwy
Juneau, AK 99801
Phone (907) 586-0262

155 Seward St
Juneau, AK 99801

1700 Crest St
Juneau, AK 99801
Phone (907) 586-0262

820 Glacier Ave
Juneau, AK 99801
Phone (907) 586-0262

610 S Bailey St
Palmer, AK 99645
Phone (907) 745-0268

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1053487025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 S SEWARD ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011332",
            "telephone_number": "907-586-0375",
            "fax_number": "907-586-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S BAILEY ST",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456330",
            "telephone_number": "907-745-0268",
            "fax_number": "907-745-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY & BOROUGH OF JUNEAU ALASKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "ROLFE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "907-586-0375"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "TR0322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TR0322",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.