City of Kotzebue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6015 Issued in AK

Legal business name

CITY OF KOTZEBUE

Doing business as

Kotzebue Fire Department

Practice address

3Rd and Bison
Kotzebue, AK 99752

Phone

(907) 442-3401

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tom Atkinson

Title

City Manager

Phone

(907) 442-3401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kotzebue Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1740351329",
    "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": "800-238-9398",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3RD AND BISON",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "99752",
            "telephone_number": "907-442-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KOTZEBUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CITY MANAGER",
        "authorized_official_telephone_number": "907-442-3401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "6015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA4434",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kotzebue Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kotzebue Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Marie Busiek
• Leigh C Carpenter, LMSW
• Amy June Carter, COMMUNITY HEALTH AID
• Unhui Chang, CDA
• Julian Chismar
• Kerisha Clarke
• Barbara Collison, RN
• C Brett Connor, LMT
• Ana Lilia Contreras, RDH
• Louise Sarah Conwell, CARE COORDINATOR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.