Provider Demographics
NPI:1942497391
Name:CITY OF THORNE BAY
Entity Type:Organization
Organization Name:CITY OF THORNE BAY
Other - Org Name:THORNE BAY EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:CITY ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-828-3380
Mailing Address - Street 1:120 FREEMAN DR
Mailing Address - Street 2:PO BOX 19110
Mailing Address - City:THORNE BAY
Mailing Address - State:AK
Mailing Address - Zip Code:99919
Mailing Address - Country:US
Mailing Address - Phone:907-828-3380
Mailing Address - Fax:907-828-3374
Practice Address - Street 1:120 FREEMAN DR
Practice Address - Street 2:
Practice Address - City:THORNE BAY
Practice Address - State:AK
Practice Address - Zip Code:99919
Practice Address - Country:US
Practice Address - Phone:907-828-3380
Practice Address - Fax:907-828-3374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKXXZ7863416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport