KETCHIKAN INDIAN CORPORATION NPI 1821120486

NPI Information

KETCHIKAN INDIAN CORPORATION is a primary care clinic center in Ketchikan, AK. KETCHIKAN INDIAN CORPORATION NPI is 1821120486. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kic Tribal Health Clinic.

The provider's business location address is:

2960 TONGASS AVE
BUSINESS OFFICE
KETCHIKAN, AK
ZIP 99901-742
Phone: (907) 228-9200
Fax: (800) 887-8796

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 3/9/2007 and was last updated on 4/28/2021.

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.

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.