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KIC/THC BEHAVIORAL HEALTH DEPARTMENT NPI 1073766317


NPI Information

NPI: 1073766317
Provider Name: KIC/THC BEHAVIORAL HEALTH DEPARTMENT

Other Name: KIC SOCIAL SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2960 TONGASS AVE FL 1
KETCHIKAN, AK
ZIP 99901
Phone: (907) 228-4917
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KIC/THC BEHAVIORAL HEALTH DEPARTMENT is a community behavioral health in Ketchikan, AK. The provider is 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. KIC/THC BEHAVIORAL HEALTH DEPARTMENT NPI is 1073766317. The provider is registered as an organization entity type.
The provider Other Name Is Kic Social Services.

The provider's business location address is:

2960 TONGASS AVE FL 1
KETCHIKAN, AK
ZIP 99901-742
Phone: (907) 228-4917
Fax: (907) 228-4920

The provider's authorized official is Debbie Patton .
The authorized official title is General Manager and has the following contact phone number (907) 228-4926.

The enumeration date for this NPI number is 10/30/2008 and was last updated on 10/30/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthALASKAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA2696MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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