MATANUSKA SUSITNA BOROUGH (NPI# 1861482903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861482903 |
Entity Type | Organization |
Organization Name | MATANUSKA SUSITNA BOROUGH |
Other Organization Name | MATANUSKA SUSITNA BOROUGH AMBULANCE |
Practice Address |
350 E Dahlia Ave Palmer AK 99645-6411 |
Practice Telephone | 9077459564 |
Practice Fax Number | 9077459566 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2012-12-10 |
Authorized Official Name | JOHN MOOSEY (BOROUGH MANAGER) |
Authorized Official Telephone | 9077459689 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0425 | AK | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | TRO688 | 05 |
Other Name | Type Code |
---|---|
Matanuska Susitna Borough Ambulance | Former Legal Business Name - Organization |
Street Address |
350 E DAHLIA AVE |
City | PALMER |
State | AK |
Zip Code | 99645-6411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
Find all providers in zip 99645 |
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 |
---|---|---|---|---|
1538318613 | Palmer Rescue Squad | Ambulance | 1006 Commercial Street, Palmer, NE 68864 | 2008-09-15 |
1053487025 | City & Borough of Juneau Alaska | Ambulance | 610 S Bailey St, Palmer, AK 99645-6330 | 2006-11-28 |
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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 |
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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.