Organization Active NPI

City of Sitka

  • Land Ambulance
  • Sitka, AK
National Provider Identifier
1790814291
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
040 Issued in AK
Legal business name
CITY OF SITKA
Practice address
100 Lincoln St
Sitka, AK 99835-7540
Phone
(866) 212-0422
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Robert Janik
Title
Director
Phone
(866) 212-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 040 AK Primary

Addresses

Primary practice location

100 Lincoln St
Sitka, AK 99835-7540

Mailing address

100 Lincoln St
Sitka, AK 99835-7540
Phone (866) 212-0422

Other identifiers 1

IdentifierTypeStateIssuer
TR0114MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100527000017 AK Part B Supplier - Ambulance Service Supplier 2466581681 Practice locations: Sitka, AK

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

209 Lake St
Sitka, AK 99835
Phone (907) 747-3233

100 Lincoln St
Sitka, AK 99835
Phone (866) 212-0422

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1790814291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LINCOLN ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357540",
            "telephone_number": "866-212-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINCOLN ST",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357540",
            "telephone_number": "866-212-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SITKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "JANIK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-212-0422"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TR0114",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sitka, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.