Organization Active NPI

Nenana Volunteer Fire EMS Department

  • Land Ambulance
  • Nenana, AK
National Provider Identifier
1144718248
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NENANA VOLUNTEER FIRE EMS DEPARTMENT
Practice address
602 Market Street
Nenana, AK 99760
Phone
(907) 832-5600
NPI assigned
Apr 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Larenda Forness
Title
Lieutenant/ Admin
Phone
(907) 832-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

602 Market Street
Nenana, AK 99760

Mailing address

PO Box 88
Nenana, AK 99760-0088
Phone (907) 832-5600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180713002252 AK Part B Supplier - Ambulance Service Supplier 0648525576 Practice locations: Nenana, AK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1144718248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "NENANA",
            "state": "AK",
            "postal_code": "997600088",
            "telephone_number": "907-832-5600",
            "fax_number": "907-832-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MARKET STREET",
            "city": "NENANA",
            "state": "AK",
            "postal_code": "99760",
            "telephone_number": "907-832-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NENANA VOLUNTEER FIRE EMS DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "FORNESS",
        "authorized_official_first_name": "LARENDA",
        "authorized_official_title_or_position": "LIEUTENANT/ ADMIN",
        "authorized_official_telephone_number": "907-832-5600"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nenana, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.