Kodiak Island Ambulatory Care Clinic Inc. in Kodiak - Urgent Care
Kodiak Island Ambulatory Care Clinic Inc. - NPI 1366596504
Kodiak Island Ambulatory Care Clinic Inc. is a Urgent Care in Kodiak, Alaska. Kodiak Island Ambulatory Care Clinic Inc. practices all healthcare services and medical treatments related to Urgent Care. The NPI Number for Kodiak Island Ambulatory Care Clinic Inc. is 1366596504. The last update date is 2011-05-16.
Kodiak Island Ambulatory Care Clinic Inc.'s current location address is Po Box 1126, Kodiak, Alaska. You can contact this provider via phone number 9074866188 and fax number 9074866146. The mailing address for Kodiak Island Ambulatory Care Clinic Inc. is Po Box 1126, Kodiak, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kodiak Island Ambulatory Care Clinic Inc. |
|---|---|
| Address | Po Box 1126, Kodiak, Alaska |
| Phone Number | 9074866188 |
| Fax Number | 9074866146 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Koller M. John |
| Credentials | M.D. |
| Telephone Number | 9074866188 |
NPI Number Detail
| NPI Number | 1366596504 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2011-05-16 |
Provider Mailing Address Detail
| Address | Po Box 1126 |
|---|---|
| City | Kodiak |
| State | Alaska (AK) |
| Post Code | 996151126 |
| Phone Number | 9074866188 |
| Fax Number | 9074866146 |
Provider's Primary Taxonomy Detail
| Speciality | Urgent Care |
|---|---|
| Taxonomy | 261Qu0200X |
| Licence No | DL282350 |
|
Definition: Treats injuries, sudden illnesses, and other urgent health conditions without an appointment, often with extended hours. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 02D0985615 | AK | CLIA NUMBER | |
| DL282350 | AK | BUSINESS LICENSE NUMBER | |
| 6270850001 | MEDICARE DME | ||
| K162500 | MEDICARE PTAN | ||
| MD10072 | AK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kodiak Island Ambulatory Care Clinic Inc. by the Centers for Medicare & Medicaid Services?
The Kodiak Island Ambulatory Care Clinic Inc. has been issued the NPI (National Provider Identifier) 1366596504. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kodiak Island Ambulatory Care Clinic Inc.'s facilities are geographically located?
The facilities of Kodiak Island Ambulatory Care Clinic Inc. are physically situated at the following location: Po Box 1126, Kodiak, AK, 996151126.
What is Kodiak Island Ambulatory Care Clinic Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kodiak Island Ambulatory Care Clinic Inc.'s specialized field of practice is Urgent Care, and the corresponding taxonomy code that categorizes this area of specialization is 261Qu0200X.
On what date did Kodiak Island Ambulatory Care Clinic Inc. receive its 1366596504 assignment from the Centers for Medicare & Medicaid Services?
The Kodiak Island Ambulatory Care Clinic Inc. was assigned its 1366596504 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kodiak Island Ambulatory Care Clinic Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kodiak Island Ambulatory Care Clinic Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-16.
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