Pacific Wings, LLC

Primary specialty

Air CarrierTaxonomy code 344800000X

License

LAOA993F Issued in AK

Legal business name

PACIFIC WINGS, LLC

Practice address

1500 Haugen Drive
Petersburg, AK 99833

Phone

(907) 772-4258

Fax

(907) 772-9282

NPI assigned

Nov 4, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah L O'Brocta

Title

Accounting

Phone

(907) 772-4258

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1447623137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "address_2": "1500 HAUGEN DRIVE",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "998331560",
            "telephone_number": "907-772-4258",
            "fax_number": "907-772-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HAUGEN DRIVE",
            "city": "PETERSBURG",
            "state": "AK",
            "postal_code": "99833",
            "telephone_number": "907-772-4258",
            "fax_number": "907-772-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "O'BROCTA",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "907-772-4258",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "344800000X",
            "taxonomy_group": "",
            "desc": "Air Carrier",
            "state": "AK",
            "license": "LAOA993F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1581421",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Morrison
• Cari Mottley
• Susan Ohmer, LCSW
• Derrick Glen Osoup
• Pacific Northwest Radiology LLC
• Petersburg Borough
• Petersburg Borough
• Petersburg Dental, Inc.
• Petersburg Medical Center
• Petersburg Medical Center

• Air Carrier in Petersburg, AK
• Providers in Petersburg, AK by specialty
• Air Carrier in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.