City/Borough of Wrangell

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0415 Issued in AK

Legal business name

CITY/BOROUGH OF WRANGELL

Practice address

431 Zimovia Hwy
Wrangell, AK 99929-0794

Phone

(907) 874-3223

Fax

(907) 874-3939

NPI assigned

Mar 20, 2007

Last updated

Sep 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim A Buness, FIRE DEPT CHIEF

Title

Fire Department Chief

Phone

(907) 874-3223

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wrangell Ambulance Other name

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1902921653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 794",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "999290794",
            "telephone_number": "907-874-3223",
            "fax_number": "907-874-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 ZIMOVIA HWY",
            "city": "WRANGELL",
            "state": "AK",
            "postal_code": "999290794",
            "telephone_number": "907-874-3223",
            "fax_number": "907-874-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY/BOROUGH OF WRANGELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "BUNESS",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE DEPARTMENT CHIEF",
        "authorized_official_telephone_number": "907-874-3223",
        "authorized_official_credential": "FIRE DEPT CHIEF"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "0415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA0144",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wrangell Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Ryan Brodsky
• Erin Bush, LMT
• Ryan O'Neill Butler
• Mary Rose Campbell, MSW
• Catholic Community Service (Wrangell Senior Center)
• Jason Michael Clemares
• Emily Pauline Cole
• Zachariah Cowan
• Jonas Donovan Crabtree
• Dash Enterprises (Harbor House)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.