Organization · Type 2 NPI

Ketchikan Gateway Borough

Land Ambulance · Ketchikan, AK

NPI number 1053458257 Active

Practice location

1900 1st Ave, Suite 118
Ketchikan, AK 99901

Fax (907) 247-6625

Mailing address

PO Box 3510
Silverdale, WA 98383-3510

Specialties and licenses

TaxonomyCodeLicense
Land Ambulance Primary 3416L0300X2025 (AK)

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About NPI 1053458257

Ketchikan Gateway Borough's National Provider Identifier is 1053458257, issued on Jan 30, 2007. The primary taxonomy on file is Land Ambulance (3416L0300X), and the practice location is in Ketchikan, AK. The record was last updated on Nov 20, 2012.