Organization
CITY OF FAIRBANKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN B CUMMINGS (CHIEF)
(907) 459-1481
Entity
Organization
Contact information
Practice address
1101 CUSHMAN STREET, FAIRBANKS, AK 99701-4620
(907) 459-1481
Mailing address
PO BOX 73945, FAIRBANKS, AK 99707-3945
(360) 394-7010
(360) 394-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
6035
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031358
—
AK
01
—
590161379
MEDICARE RR
—
05
—
TR0135
—
AK
Enumeration date
12/15/2006
Last updated
05/05/2015
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