Provider Demographics
NPI:1023069622
Name:MUNICIPALITY OF ANCHORAGE
Entity type:Organization
Organization Name:MUNICIPALITY OF ANCHORAGE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MUNICIPAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:VAKALIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-343-7110
Mailing Address - Street 1:100 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-2506
Mailing Address - Country:US
Mailing Address - Phone:907-343-7110
Mailing Address - Fax:
Practice Address - Street 1:100 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501
Practice Address - Country:US
Practice Address - Phone:907-343-7110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK00803416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKTR0136Medicaid
AKK0000RGBMHMedicare PIN