Peacehealth is a Critical Access in Ketchikan, Alaska. Peacehealth practices all healthcare services and medical treatments related to Critical Access. The NPI Number for Peacehealth is 1396705539. The last update date is 2011-08-31.
Peacehealth's current location address is 3100 Tongass Ave, Ketchikan, Alaska. You can contact this provider via phone number 9072288300 and fax number 9072288518. The mailing address for Peacehealth is 3100 Tongass Ave, Ketchikan, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peacehealth |
|---|---|
| Address | 3100 Tongass Ave, Ketchikan, Alaska |
| Phone Number | 9072288300 |
| Fax Number | 9072288518 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Branco J Patrick |
| Telephone Number | 9072288300 |
NPI Number Detail
| NPI Number | 1396705539 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2011-08-31 |
Provider Mailing Address Detail
| Address | 3100 Tongass Ave |
|---|---|
| City | Ketchikan |
| State | Alaska (AK) |
| Post Code | 999015746 |
| Phone Number | 9072288300 |
| Fax Number | 9072288518 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Access |
|---|---|
| Taxonomy | 282Nc0060X |
| Licence No | NO NUMBER AS |
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Definition: Small, rural hospital meeting location and service criteria that allow it to receive cost-based Medicare and Medicaid reimbursement. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HS04IP | AK | -- | |
| 25 | AK | TRICARE GROUP NUMBER | |
| HS04OP | AK | -- | |
| 6110165 | AK | AETNA FACILITY ID |
Post Comment/ Review Below
What is the unique identification code assigned to Peacehealth by the Centers for Medicare & Medicaid Services?
The Peacehealth has been issued the NPI (National Provider Identifier) 1396705539. 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 Peacehealth is geographically located?
The Peacehealth is physically situated at the following location: 3100 Tongass Ave, Ketchikan, AK, 999015746.
What is Peacehealth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Peacehealth is Critical Access, and the taxonomy code that categorizes this field of expertise is 282Nc0060X.
On what date did the Peacehealth receive its 1396705539 assignment from the Centers for Medicare & Medicaid Services?
The Peacehealth was assigned its 1396705539 by the Centers for Medicare & Medicaid Services on 2006-03-23.
When was the Peacehealth's information last updated?
The Peacehealth's information was last updated on 2011-08-31.