Integrated Support Command Kodiak in Kodiak - Clinic/center

Integrated Support Command Kodiak - NPI 1720064884

Integrated Support Command Kodiak is a Clinic/center in Kodiak, Alaska. Integrated Support Command Kodiak practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Integrated Support Command Kodiak is 1720064884. The last update date is 2008-07-28.

Integrated Support Command Kodiak's current location address is Building N 46 Cape Sarlchef, Kodiak, Alaska. You can contact this provider via phone number 9074875757 and fax number 9074875360. The mailing address for Integrated Support Command Kodiak is Building N 46 Cape Sarlchef, Kodiak, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Integrated Support Command Kodiak
Address Building N 46 Cape Sarlchef, Kodiak, Alaska
Phone Number 9074875757
Fax Number 9074875360
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINIC ADM
Authorized Official Name Emerson Lane Todd
Credentials CLINIC ADM
Telephone Number 9074875757

NPI Number Detail

NPI Number 1720064884
Provider Enumeration Date 2005-12-21
Last Updated Date 2008-07-28

Provider Mailing Address Detail

Address Building N 46 Cape Sarlchef
City Kodiak
State Alaska (AK)
Post Code 996195002
Phone Number 9074875757
Fax Number 9074875360

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
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

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FAQs about Integrated Support Command Kodiak

What is the unique identification code assigned to Integrated Support Command Kodiak by the Centers for Medicare & Medicaid Services?

The Integrated Support Command Kodiak has been issued the NPI (National Provider Identifier) 1720064884. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Integrated Support Command Kodiak is geographically located?

The Integrated Support Command Kodiak is physically situated at the following location: Building N 46 Cape Sarlchef, Kodiak, AK, 996195002.

What is Integrated Support Command Kodiak's area of expertise and its corresponding taxonomy classification?

The Integrated Support Command Kodiak's field of specialization is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Integrated Support Command Kodiak receive the assignment of its 1720064884 from the Centers for Medicare & Medicaid Services?

The Integrated Support Command Kodiak was issued its 1720064884 by the Centers for Medicare & Medicaid Services on 2005-12-21.

As of what date was the information pertaining to Integrated Support Command Kodiak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Integrated Support Command Kodiak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-28.

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