City of Valdez

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

NOT NUMBERED Issued in AK

Legal business name

CITY OF VALDEZ

Practice address

407 W Pioneer St
Valdez, AK 99686

Phone

(907) 835-4560

Fax

(907) 834-3411

NPI assigned

Sep 6, 2006

Last updated

Jun 17, 2025By 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

Tracy Raynor

Title

Fire Chief

Phone

(907) 834-3467

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Member organizations 5

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

• City of Valdez

  dba Providence Valdez Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Valdez, AK
  • NPI 1336247824

  Member Of

  NPD member
• City of Valdez

  dba Providence Valdez Medical Center

  • Critical Access Hospital Clinic/Center
  • Valdez, AK
  • NPI 1427424282

  Member Of

  NPD member
• City of Valdez

  dba Providence Valdez Medical Center

  • Critical Access Hospital
  • Valdez, AK
  • NPI 1750485488

  Member Of

  NPD member
• City of Valdez

  dba Providence Valdez Medical Center

  • Skilled Nursing Facility
  • Valdez, AK
  • NPI 1790715928

  Member Of

  NPD member
• City of Valdez

  dba Providence Valdez Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valdez, AK
  • NPI 1962525097

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• City of Valdez

  dba Providence Valdez Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Valdez, AK
  • NPI 1336247824

  5% Or Greater Direct Ownership Interest

  CMS ownership
• City of Valdez

  dba Providence Valdez Medical Center

  • Critical Access Hospital
  • Valdez, AK
  • NPI 1750485488

  5% Or Greater Direct Ownership Interest

  CMS ownership
• City of Valdez

  dba Providence Valdez Medical Center

  • Skilled Nursing Facility
  • Valdez, AK
  • NPI 1790715928

  5% Or Greater Direct Ownership Interest, Adp of the SNF

  CMS ownership

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1952404865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "VALDEZ",
            "state": "AK",
            "postal_code": "996860307",
            "telephone_number": "907-835-4313",
            "fax_number": "907-835-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W PIONEER ST",
            "city": "VALDEZ",
            "state": "AK",
            "postal_code": "99686",
            "telephone_number": "907-835-4560",
            "fax_number": "907-834-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF VALDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2025-06-17",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "907-834-3467"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "NOT NUMBERED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Valdez (Providence Valdez Counseling Center)
• City of Valdez (Providence Valdez Medical Center)
• City of Valdez (Providence Valdez Medical Center)
• City of Valdez (Providence Valdez Medical Center)
• City of Valdez (Providence Valdez Medical Center)
• City of Valdez (Providence Valdez Counseling Center)
• Coral A Clark
• Dustin E Clark
• Joel Ray Clark
• Connecting Ties Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.