Active NPI
City of Craig Inc.
- Land Ambulance
- Craig, AK
National Provider Identifier
1386868784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0435
- 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.
-
- Physical Therapist
- Craig, AK
- NPI 1609823525
-
- Physical Therapist
- Ketchikan, AK
- NPI 1114098654
-
- Family Medicine Physician
- Craig, AK
- NPI 1457398042
-
- Physical Therapist
- Ketchikan, AK
- NPI 1902005085
-
- Family Medicine Physician
- Anchorage, AK
- NPI 1831299809
-
- Physical Therapist
- Atlanta, GA
- NPI 1518909183
-
- Physical Therapist
- North Tonawanda, NY
- NPI 1255735635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090414000469 | AK | Part B Supplier - Ambulance Service Supplier | 8224023668 | Practice locations: Craig, AK |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0435 | AK | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA6095 | Medicaid | AK | |
| 616472400 | Other | AK | OWCP-DEEOIC |
Other names 1
NPPES NPI Registry- City of Craig EMS
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.