Organization Active NPI

City of Craig Inc.

  • Land Ambulance
  • Craig, AK
National Provider Identifier
1386868784
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0435 Issued in AK
Legal business name
CITY OF CRAIG INC.
Practice address
506 3Rd St
Craig, AK 99921
Phone
(907) 826-3257
NPI assigned
Apr 13, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Joyce Mason
Title
City Treasurer
Phone
(907) 826-3275

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090414000469 AK Part B Supplier - Ambulance Service Supplier 8224023668 Practice locations: Craig, AK

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0435 AK Primary

Addresses

NPPES NPI Registry

Primary practice location

506 3Rd St
Craig, AK 99921

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
GA6095MedicaidAK
616472400OtherAKOWCP-DEEOIC

Other names 1

NPPES NPI Registry
  • City of Craig EMS Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 29, 2012.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1386868784",
    "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": "360-394-7030",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 3RD ST",
            "city": "CRAIG",
            "state": "AK",
            "postal_code": "99921",
            "telephone_number": "907-826-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CRAIG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CITY TREASURER",
        "authorized_official_telephone_number": "907-826-3275"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "0435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA6095",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP-DEEOIC",
            "identifier": "616472400",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Craig EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Craig, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.