Organization
MATANUSKA SUSITNA BOROUGH
Active
Other names
Matanuska Susitna Borough Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA B DEVRIES (BOROUGH MAYER)
(907) 861-8564
Entity
Organization
Contact information
Practice address
350 E DAHLIA AVE, PALMER, AK 99645-6411
(907) 745-9564
(907) 745-9566
Mailing address
350 E DAHLIA AVE, PALMER, AK 99645-6411
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0425
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590001961
RAILROAD MEDICARE
—
05
—
TRO688
—
AK
Enumeration date
10/27/2005
Last updated
08/11/2025
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