Organization
WRANGELL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE SHYMANSKI (ACCOUNTS RECEIVABLE COORDINATOR)
(907) 874-7000
Entity
Organization
Contact information
Practice address
310 BENNETT STREET, WRANGELL, AK 99929-1081
(907) 874-7000
(907) 874-7122
Mailing address
PO BOX 1081, WRANGELL, AK 99929-1081
(907) 874-7000
(907) 874-7122
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
RPCH-003
AK
Other
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
Enumeration date
10/11/2005
Last updated
12/17/2015
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