PETERSBURG BOROUGH (NPI# 1689721144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689721144 |
| Entity Type | Organization |
| Organization Name | PETERSBURG BOROUGH |
| Practice Address |
1200 Haugen Drive Petersburg AK 99833 |
| Mailing Address |
Po Box 329 Petersburg AK 99833-0329 |
| Practice Telephone | 9077723355 |
| Mailing Telephone | 9077724425 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-04-16 |
| Authorized Official Name | JODY TOW (FINANCE DIRECTOR) |
| Authorized Official Telephone | 9077724425 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
5005 | AK | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | GA5005 | 05 |
| Street Address |
1200 HAUGEN DRIVE |
| City | PETERSBURG |
| State | AK |
| Zip Code | 99833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720713 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 202 2nd & Gjoa Street, Petersburg, AK 99833 | 2020-01-30 |
| 1710518006 | Troy Carl Larson | Behavior Technician | 200 Fram Street, Petersburg, AK 99833 | 2020-01-27 |
| 1770128316 | Brenda Louise | Assisted Living Facility | 206 S 2nd, Petersburg, AK 99833 | 2019-11-07 |
| 1861055337 | Ashley Kawashima | Counselor | 100 Fram St., Petersburg, AK 99833 | 2019-04-19 |
| 1932762499 | Mindy Lopez | Rehabilitation Counselor | 1016 Lake Street, Petersburg, AK 99833 | 2019-04-19 |
| 1760921753 | Patrick Sessa | Social Worker | 201 N Nordic Dr., Petersburg, AK 99833 | 2017-02-23 |
| 1992151294 | Bradee Ann Luhr | Physical Therapist | 244 Mitkof Highway, Petersburg, AK 99833 | 2016-05-05 |
| 1891158267 | Lina Kotsoeva | Counselor | 226 S Nordic Dr, Petersburg, AK 99833 | 2016-04-01 |
| 1447623137 | Pacific Wings, LLC | Air Carrier | 1500 Haugen Drive, Petersburg, AK 99833 | 2015-11-04 |
| 1366857088 | Amanda Lemiere Taylor | Social Worker | 201 N Nordic Dr, Petersburg, AK 99833 | 2014-06-23 |
| Find all providers in zip 99833 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629609797 | Dignity With Care Transportation Services Inc | Ambulance | 104 N Plains Dr, Petersburg, VA 23805-9110 | 2020-01-28 |
| 1407375827 | County of Grant | Ambulance | 117 Virginia Ave, Petersburg, WV 26847-1713 | 2017-09-18 |
| 1720214232 | Pike County Medical Transport LLC | Ambulance | 4747 N County Road 575 E, Petersburg, IN 47567-8804 | 2009-06-10 |
| 1730171596 | Twin Creeks Community Volunteer Ambulance Service | Ambulance | 4814 Shavers Creek Rd, Petersburg, PA 16669-3630 | 2005-08-18 |
| 1104825595 | Petersburg Fire Protection District | Ambulance | 3018 2nd Street, Petersburg, KY 41080-0068 | 2005-07-18 |
| 1700929437 | Pike County Auditor | Ambulance | 100 S 4th St, Petersburg, IN 47567-1411 | 2007-02-14 |
| 1235271073 | Village of Petersburg | Ambulance | 226 E Main St, Petersburg, NE 68652 | 2007-02-12 |
| 1376513010 | Pike County Emergency Medical Service | Ambulance | 801 E Main St, Courthouse, Petersburg, IN 47567-1249 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572712 | Girdwood Fire and Rescue Inc. | Ambulance | 186 Egloff Dr, Girdwood, AK 99587-9958 | 2020-03-05 |
| 1649814724 | Guardian Flight LLC | Ambulance | 3474 Old Intl Airport Rd Ste A, Anchorage, AK 99502-1003 | 2019-11-01 |
| 1144718248 | Nenana Volunteer Fire/ems Department | Ambulance | 602 Market Street, Nenana, AK 99760 | 2018-04-25 |
| 1821457227 | King Cove Fire & Rescue | Ambulance | 289 Rams Creek Drive, King Cove, AK 99612-0289 | 2016-02-15 |
| 1609250745 | Metlakatla Indian Community | Ambulance | 4th & Auriel St., Metlakatla, AK 99926 | 2015-07-18 |
| 1740690734 | City of Gustavus | Ambulance | 1802 Gustavus Rd, Gustavus, AK 99826 | 2014-04-30 |
| 1760805618 | City of Unalaska | Ambulance | 29 Safety Way, Unalaska, AK 99685-0000 | 2014-01-29 |
| 1851735559 | Bristol Bay Borough | Ambulance | Mile 0 Ak Peninsula Hwy, Naknek, AK 99633 | 2013-04-24 |
| 1396026944 | Delta Medical Transport LLC | Ambulance | 4200 Lang Dr, Delta Junction, AK 99737 | 2011-09-08 |
| 1669607230 | Nikiski Fire Department | Ambulance | 44800 Kenai Spur Highway, Nikiski Fire Station #1, Nikiski, AK 99635 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
| City | PETERSBURG |
| Zip Code | 99833 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.