Provider Demographics
NPI:1760673826
Name:MUNICIPALITY OF ANCHORAGE
Entity type:Organization
Organization Name:MUNICIPALITY OF ANCHORAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC TRANSPORTATION
Authorized Official - Prefix:MS
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:KARCZ
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:907-343-8484
Mailing Address - Street 1:3650 A EAST TUDOR ROAD
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1252
Mailing Address - Country:US
Mailing Address - Phone:907-343-8484
Mailing Address - Fax:
Practice Address - Street 1:9525 KING ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-1817
Practice Address - Country:US
Practice Address - Phone:907-343-8484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKHC6367Medicaid
AKTX6367Medicaid