| Organization Name: | KETCHIKAN GATEWAY BOROUGH |
| NPI Number: | 1053458257 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLANNE THOMAS (BOUROUGH TREASURER) |
| Mailing Address: | 1900 1st Ave Suite 118 Ketchikan |
| State: | AK US |
| Postal Code: | 99901 |
| Phone Number: | 9072475521 |
| Fax Number: | 9072476625 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 11/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 2025 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |