Healthcare Provider Details

I. General information

NPI: 1619979184
Provider Name (Legal Business Name): CITY OF KENAI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2005
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 FIDALGO AVE
KENAI AK
99611-7750
US

IV. Provider business mailing address

PO BOX 3510
SILVERDALE WA
98383-3510
US

V. Phone/Fax

Practice location:
  • Phone: 907-283-8228
  • Fax:
Mailing address:
  • Phone: 800-238-9398
  • Fax: 360-394-7097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0020
License Number StateAK

VIII. Authorized Official

Name: REBECCA J BUSH
Title or Position: DISTRICT SECRETARY
Credential:
Phone: 907-335-5234