Municipality of Skagway

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MUNICIPALITY OF SKAGWAY

Doing business as

Skagway Fire Department

Practice address

308 17TH Ave
Skagway, AK 99840

Phone

(907) 983-2450

Fax

(907) 983-3450

NPI assigned

Apr 16, 2007

Last updated

Jun 21, 2018By 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

Heather Rodig, AUTHORIZED OFFICIAL

Title

Treasurer

Phone

(907) 983-9703

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Skagway Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Municipality of Skagway

  dba Dahl Memorial Clinic

  • Federally Qualified Health Center (FQHC)
  • Skagway, AK
  • NPI 1063574200

  0244227726

  Same PAC ID

Tax ID family

Municipality of Skagway2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dahl Memorial Clinic, Inc

  dba The Pillbox

  • Community/Retail Pharmacy
  • Skagway, AK
  • NPI 1366241929
  NPD tax ID

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Municipality of Skagway

  dba Dahl Memorial Clinic

  • Federally Qualified Health Center (FQHC)
  • Skagway, AK
  • NPI 1063574200

  5% Or Greater Direct Ownership Interest

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1437374113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415",
            "city": "SKAGWAY",
            "state": "AK",
            "postal_code": "998400415",
            "telephone_number": "907-983-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 17TH AVE",
            "city": "SKAGWAY",
            "state": "AK",
            "postal_code": "99840",
            "telephone_number": "907-983-2450",
            "fax_number": "907-983-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNICIPALITY OF SKAGWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "RODIG",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "907-983-9703",
        "authorized_official_credential": "AUTHORIZED OFFICIAL"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA6090",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skagway Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Skagway Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Hischer, LCSW
• Valerie Jensen, LMT
• Karen Johnston
• Keils Kitchen, PA-C
• Municipality of Skagway (Dahl Memorial Clinic)
• Katherine J Nelson, MASSAGE THERAPIST
• Kelsey O'Grady, RN
• Andrea Leigh Payne, NP-C
• Claire Louise Ramos, LMHC
• Taiya Counseling Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.