# WRANGELL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518955731
- **Authorized official:** ROSE SHYMANSKI (ACCOUNTS RECEIVABLE COORDINATOR)
- **Authorized official phone:** (907) 874-7000

## Contact information

- **Practice address:** 310 BENNETT STREET, WRANGELL, AK 99929-1081
- **Practice address phone:** (907) 874-7000
- **Practice address fax:** (907) 874-7122
- **Mailing address:** PO BOX 1081, WRANGELL, AK 99929-1081
- **Mailing address phone:** (907) 874-7000
- **Mailing address fax:** (907) 874-7122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC0060X | Critical Access Hospital | RPCH-003 | AK | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 12/17/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1005584 | — | AK |
| 05 | — | 1005585 | — | AK |
| 05 | — | 1020479 | — | AK |
| 01 | — | 127 | BLUE CROSS | AK |
| 05 | — | HS06IP | — | AK |
| 05 | — | HS06LT | — | AK |
| 05 | — | HS06OP | — | AK |
| 05 | — | HS06SB | — | AK |
| 05 | — | MS5700 | — | AK |
