Organization Active NPI

City of North Pole

Doing business as North Pole Fire Department

  • Land Ambulance
  • North Pole, AK
National Provider Identifier
1730470667
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0040 Issued in AK
Legal business name
CITY OF NORTH POLE
Doing business as
North Pole Fire Department
Practice address
110 Lewis St
North Pole, AK 99705-7699
Phone
(907) 488-0444
NPI assigned
Apr 26, 2011
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Buddy Lane
Title
Fire Chief
Phone
(907) 488-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0040 AK Primary

Addresses

Primary practice location

110 Lewis St
North Pole, AK 99705-7699

Mailing address

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

Other names 1

  • North Pole Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110816000147 AK Part B Supplier - Ambulance Service Supplier 9133398753 Practice locations: North Pole, AK

National Provider Directory

National Provider Directory

Locations

110 Lewis St
North Pole, AK 99705
Phone (907) 488-0444

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1730470667",
    "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": "110 LEWIS ST",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057699",
            "telephone_number": "907-488-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NORTH POLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "BUDDY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "907-488-0444"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "0040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Pole Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Pole, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.