Organization Active NPI

City of Delta Junction

  • Land Ambulance
  • Delta Junction, AK
National Provider Identifier
1750583464
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0240 Issued in AK
Legal business name
CITY OF DELTA JUNCTION
Practice address
1325 Delta Avenue
Delta Junction, AK 99737
Phone
(907) 895-4656
Fax
(907) 895-4375
NPI assigned
Jun 4, 2007
Last updated
Dec 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Lori M Later-Roberts
Title
City Administrator
Phone
(907) 895-4656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0240 AK Primary

Addresses

Primary practice location

1325 Delta Avenue
Delta Junction, AK 99737

Mailing address

PO Box 229
Delta Junction, AK 99737-0229
Phone (907) 895-4656

Other identifiers 1

IdentifierTypeStateIssuer
TR0276MedicaidAK

Other names 2

  • City of Delta Junction Former legal business name
  • Delta Rescue Squad Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1750583464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997370229",
            "telephone_number": "907-895-4656",
            "fax_number": "907-895-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 DELTA AVENUE",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "99737",
            "telephone_number": "907-895-4656",
            "fax_number": "907-895-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DELTA JUNCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "LATER-ROBERTS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "907-895-4656"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "0240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TR0276",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Delta Junction",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Delta Rescue Squad",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Delta Rescue Squad",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Delta Junction, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.