City of Kake
Organization Active NPI Land Ambulance · Kake, AK
NPI 1265658231 · NPPES record last updated Jul 3, 2008
Key facts
- NPI
- 1265658231
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 6030 (AK)
- Legal business name
- CITY OF KAKE
- Practice address
- 26 Church Street
Kake, AK 99830 - Phone
- (907) 785-3159
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Tim Moore
- Title
- President Billing Agent
- Phone
- (907) 785-3133
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6030 | AK | Yes |
Addresses
Primary practice location
26 Church Street
Kake, AK 99830
Mailing address
PO Box 591
Kake, AK 99830-0591
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA8151 | Medicaid | AK |
Other names
- City of Kake Emergency Medical Services
Other providers in Kake, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.