institution
Kodiak Island Ambulatory Care Clinic Inc.
Urgent Care Clinic/Center in Kodiak, Alaska
NPI 1366596504

Kodiak Island Ambulatory Care Clinic Inc. is a Urgent Care Clinic/Center based in Kodiak, AK and is specialized in Urgent Care. Kodiak Island Ambulatory Care Clinic Inc. practices in Kodiak, AK. The NPI Number for Kodiak Island Ambulatory Care Clinic Inc. is 1366596504 and holds a License No. DL282350 (Alaska).

The current practice location address for Kodiak Island Ambulatory Care Clinic Inc. is 202 Center Ave, Kodiak, AK and can be reached out via phone at 907-486-6188 and via fax at 907-486-6146. You can also correspond with Kodiak Island Ambulatory Care Clinic Inc. through the mailing address at PO BOX 1126, KODIAK, AK - 99615-1126 (mailing address contact number: 907-486-6188).

Location: 202 Center Ave, Kodiak, AK, 99615-1126
institution
Provider Profile Details
NPI Number
1366596504
Provider Name
Kodiak Island Ambulatory Care Clinic Inc.
Credential
Provider Entity Type
Organization
Address
202 Center Ave, Kodiak, AK, 99615-1126
Phone Number
907-486-6188
Fax Number
907-486-6146
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02D0985615 01 AK CLIA NUMBER
DL282350 01 AK BUSINESS LICENSE NUMBER
6270850001 01 MEDICARE DME
K162500 01 MEDICARE PTAN
MD10072 05 AK
institution
Provider Business Practice Location Address Details
Address
202 Center Ave
City
State
Zip
99615-1126
Phone Number
907-486-6188
Fax Number
907-486-6146
person
Provider Business Mailing Address Details
Address
Po Box 1126
City
State
Zip
99615-1126
Phone Number
907-486-6188
Fax Number
907-486-6146
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
License No.
DL282350 (Alaska)
Definition
Definition to come...
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