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Ketchikan Indian Corporation
Primary Care Clinic/Center in Ketchikan, Alaska
NPI 1821120486

Ketchikan Indian Corporation is a Primary Care Clinic/Center based in Ketchikan, AK and is specialized in Primary Care. Ketchikan Indian Corporation practices in Ketchikan, AK. The NPI Number for Ketchikan Indian Corporation is 1821120486 and holds a License No. 78545 (Alaska).

The current practice location address for Ketchikan Indian Corporation is 2960 Tongass Ave, Ketchikan, AK and can be reached out via phone at 907-228-9200 and via fax at 800-887-8796.

Location: 2960 Tongass Ave, Ketchikan, AK, 99901-5742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821120486
Provider Name
Ketchikan Indian Corporation
Credential
Provider Entity Type
Organization
Address
2960 Tongass Ave, Ketchikan, AK, 99901-5742
Phone Number
907-228-9200
Fax Number
800-887-8796
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CL2696 05 AK
institution
Provider Business Practice Location Address Details
Address
2960 Tongass Ave
City
Ketchikan
State
Alaska
Zip
99901-5742
Phone Number
907-228-9200
Fax Number
800-887-8796
person
Provider Business Mailing Address Details
Address
2960 Tongass Ave
City
Ketchikan
State
Alaska
Zip
99901-5742
Phone Number
907-228-9200
Fax Number
800-887-8796
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
78545 (Alaska)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
78545 (Alaska)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
78545 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
78545 (Alaska)
Definition
Definition to come...
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