City of Fairbanks

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6035 Issued in AK

Legal business name

CITY OF FAIRBANKS

Practice address

1101 Cushman Street
Fairbanks, AK 99701-4620

Phone

(907) 459-1481

NPI assigned

Dec 15, 2006

Last updated

May 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Warren B Cummings

Title

Chief

Phone

(907) 459-1481

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Locations

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1225190143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73945",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997073945",
            "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": "1101 CUSHMAN STREET",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997014620",
            "telephone_number": "907-459-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FAIRBANKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "907-459-1481"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "6035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031358",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TR0135",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "590161379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Churchwell
• Celestina Cibrian
• Jeffery Michael Cimmerman, BA
• Paula Ciniero
• Mohamed Cisse
• Mylinda Cizmowski
• Terrence Edward Clack
• Ryan Clairmont, PA-C
• Mary Marie Clancy, CCC-SLP
• Clarice Grandpre MD LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.