PEACEHEALTH is a medicare defined swing bed unit in Ketchikan, AK. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. PEACEHEALTH NPI is 1528544822. The provider is registered as an organization entity type.
The provider Is Doing Business As Ketchikan Medical Center.
The provider's business location address is:
3100 TONGASS AVE
KETCHIKAN, AK
ZIP 99901-746
Phone: (907) 225-5171
The provider's authorized official is Darrin Mitchell Montalvo .
The authorized official title is Evp Chief Financial /growth Officer and has the following contact phone number (360) 729-1102.
The CLIA number assigned to this NPI record is 02D0641454 - hospital with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 7/19/2018 and was last updated on 12/2/2020.