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Organization

KETCHIKAN GATEWAY BOROUGH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLANNE THOMAS (BOUROUGH TREASURER)
(907) 228-6613
Entity
Organization

Contact information

Practice address
1900 1ST AVE, SUITE 118, KETCHIKAN, AK 99901
(907) 247-5521
(907) 247-6625
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7030
(360) 394-7097

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2025
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GA4626
AK
Enumeration date
01/30/2007
Last updated
11/20/2012
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