Active NPI
City of Sitka
- Land Ambulance
- Sitka, AK
National Provider Identifier
1790814291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 040
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TR0114 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100527000017 | AK | Part B Supplier - Ambulance Service Supplier | 2466581681 | Practice locations: Sitka, AK |
National Provider Directory
National Provider DirectoryMember organizations 4
Organizations listed as members of this organization in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Sitka, AK
- NPI 1104825835
Member Of
-
- Medicare Defined Swing Bed Hospital Unit
- Sitka, AK
- NPI 1598763740
Member Of
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.
-
- Home Health Agency
- Sitka, AK
- NPI 1891793048
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.