KETCHIKAN INDIAN CORPORATION NPI 1699983361

NPI Information

KETCHIKAN INDIAN CORPORATION is an indian health service tribal urban indian health i t u pharmacy in Ketchikan, AK. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. KETCHIKAN INDIAN CORPORATION NPI is 1699983361. The provider is registered as an organization entity type.

The provider's business location address is:

2960 TONGASS AVE
KETCHIKAN, AK
ZIP 99901-742
Phone: (907) 225-0320
Fax: (907) 247-4819

The provider's authorized official is Wendy Ross .
The authorized official title is Rcm and has the following contact phone number (907) 228-9254.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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