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Organization

CITY OF KODIAK

Active
Other names
City of Kodiak Ambulance Service
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA A ELLIS (AMBULANCE CLERK)
(907) 486-8656
Entity
Organization

Contact information

Practice address
219 LOWER MILL BAY RD, KODIAK, AK 99615-6352
(907) 486-8657
(907) 486-8600
Mailing address
PO BOX 3510, SILVERDALE, WA 98383-3510
(360) 394-7020
(360) 394-7099

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6200
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GA0100
AK
Enumeration date
05/22/2007
Last updated
08/11/2025
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