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CITY OF FAIRBANKS
Land Transport >> Ambulance >> Transportation ServicesRegistrant NPI Number: 1225190143
Organizational Registrant:Organization Name: CITY OF FAIRBANKS
Organization is not Subpart
Authorized Official: WARREN B CUMMINGS CHIEF 907--45-91481
Organization is not Subpart
Authorized Official: WARREN B CUMMINGS CHIEF 907--45-91481
Location and contact information for practice:
1101 CUSHMAN STREET FAIRBANKS, AK 99701-4620 US
Tel: 907-459-1481 Fax: --
Tel: 907-459-1481 Fax: --
Contact information for business:
PO BOX 73945 FAIRBANKS, AK 99707-3945 US
Tel: 360-394-7010 Fax: 360-394-7099
Tel: 360-394-7010 Fax: 360-394-7099
Registration Information:
NPI: 1225190143
Entity Type: Organization
Entity Type: Organization
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 3416L0300X | Transportation Services Ambulance Land Transport | AK | 6035 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE RR | 590161379 | 01 | |
| TR0135 | AK | 05 | |
| 1031358 | AK | 05 |
