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INTEGRATED SUPPORT COMMAND KODIAK NPI 1720064884


NPI Information

NPI: 1720064884
Provider Name: INTEGRATED SUPPORT COMMAND KODIAK

Doing Business As: ROCKMORE-KING CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
BUILDING N46 CAPE SARICHEF
KODIAK, AK
ZIP 99619
Phone: (907) 487-5757
Get Directions

INTEGRATED SUPPORT COMMAND KODIAK is a clinic center in Kodiak, AK. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INTEGRATED SUPPORT COMMAND KODIAK NPI is 1720064884. The provider is registered as an organization entity type.
The provider Is Doing Business As Rockmore-king Clinic.

The provider's business location address is:

BUILDING N46 CAPE SARICHEF
KODIAK, AK
ZIP 99619-002
Phone: (907) 487-5757
Fax: (907) 487-5360

The provider's authorized official is Todd Lane Emerson .
The authorized official title is Clinic Administrator and has the following contact phone number (907) 487-5757.

The enumeration date for this NPI number is 12/21/2005 and was last updated on 7/28/2008.


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
1261QD0000XClinic/CenterDentalALASKANo
2291900000XMilitary Clinical Medical Laboratory02D0666660ALASKANo
3332000000XMilitary/U.S. Coast Guard PharmacyNCPDP0202414ALASKANo
4261Q00000XClinic/CenterALASKAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.