Kenai Peninsula Borough

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0090 Issued in AK

Legal business name

KENAI PENINSULA BOROUGH

Doing business as

Central Emergency Services, Nikiski Fire, Bear Creek Fire, Kachemak

Practice address

144 N Binkley St
Soldotna, AK 99669-7520

Phone

(907) 262-4440

NPI assigned

Jul 16, 2006

Last updated

Sep 19, 2025By 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

James Chad Friedersdorff

Title

Financial Planning Manager

Phone

(907) 714-2194

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Central Emergency Services, Nikiski Fire, Bear Creek Fire, Kachemak Doing business as

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": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1386661270",
    "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": "800-238-9398",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N BINKLEY ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697520",
            "telephone_number": "907-262-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENAI PENINSULA BOROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "FRIEDERSDORFF",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "FINANCIAL PLANNING MANAGER",
        "authorized_official_telephone_number": "907-714-2194"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "0090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA00901",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA0090",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Emergency Services, Nikiski Fire, Bear Creek Fire, Kachemak",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Emergency Services, Nikiski Fire, Bear Creek Fire, Kachemak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Nicole Keeton, OTR/L
• William Joseph Kelley, MD
• Brandon John Kellum, DISPENSING OPTICIAN
• Kirsten Kempf, SLPA
• Kenai Peninsula Anesthesia, LLC
• Kenai Peninsula Borough School District
• Kenai Peninsula Health System LLC Urgent Care of Soldotna
• Kenai Peninsula Home Health LLC
• Kenai Peninsula Hospice LLC
• Kenai Peninsula Massage Therapy Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.