HSWL FO KODIAK DET KETCHIKAN is a military and u.s. coast guard ambulatory procedure clinic center in Ketchikan, AK. The provider is that part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals. HSWL FO KODIAK DET KETCHIKAN NPI is 1285948877. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Integrated Support Command Ketchikan.
The provider's business location address is:
1300 STEDMAN ST
KETCHIKAN, AK
ZIP 99901-661
Phone: (907) 228-0320
Fax: (907) 228-0255
The provider's authorized official is Robert Bidwell .
The authorized official title is Clinic Administrator and has the following contact phone number (907) 228-0320.
The enumeration date for this NPI number is 8/6/2010 and was last updated on 8/6/2010.