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ISC KETCHIKAN-JUNEAU DETACHMENT NPI 1497731590


NPI Information

NPI: 1497731590
Provider Name: ISC KETCHIKAN-JUNEAU DETACHMENT
Classification: Clinic/Center - 261QM1100X
Entity Type: Organization

Specialization: Military/U.S. Coast Guard Outpatient

Address:
709 W 9TH ST
USCG MEDICAL ROOM 627
JUNEAU, AK
ZIP 99801
Phone: (907) 463-2140
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ISC KETCHIKAN-JUNEAU DETACHMENT is a military/u.s. coast guard outpatient clinic center in Juneau, AK. The provider is the Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. ISC KETCHIKAN-JUNEAU DETACHMENT NPI is 1497731590. The provider is registered as an organization entity type.

The provider's business location address is:

709 W 9TH ST
USCG MEDICAL ROOM 627
JUNEAU, AK
ZIP 99801-807
Phone: (907) 463-2140

The provider's authorized official is Juan Esteban Palacio .
The authorized official title is Chief Of Health Services and has the following contact phone number (907) 463-2140.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 8/22/2020.


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
1261QM1100XClinic/CenterMilitary/U.S. Coast Guard OutpatientYes

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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