Organization Active NPI

City of Hoonah

Doing business as Hoonah Volunteer EMS

  • Land Ambulance
  • Hoonah, AK
National Provider Identifier
1316016025
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1608 Issued in AK
Legal business name
CITY OF HOONAH
Doing business as
Hoonah Volunteer EMS
Practice address
375 Hemlock Drive
Hoonah, AK 99829-0360
Phone
(907) 945-3663
NPI assigned
Nov 7, 2006
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dennis H Gray Jr.
Title
City Administrator
Phone
(907) 945-3663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1608 AK Primary

Addresses

Primary practice location

375 Hemlock Drive
Hoonah, AK 99829-0360

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7010

Other names 1

  • Hoonah Volunteer EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110518000058 AK Part B Supplier - Ambulance Service Supplier 1254517733 Practice locations: Hoonah, 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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1316016025",
    "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": "375 HEMLOCK DRIVE",
            "city": "HOONAH",
            "state": "AK",
            "postal_code": "998290360",
            "telephone_number": "907-945-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HOONAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "907-945-3663",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "1608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoonah Volunteer EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoonah, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.