Ketchikan Indian Corporation in Ketchikan - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy

Ketchikan Indian Corporation - NPI 1699983361

Ketchikan Indian Corporation is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Ketchikan, Alaska. Ketchikan Indian Corporation practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Ketchikan Indian Corporation is 1699983361. The last update date is 2023-03-07.

Ketchikan Indian Corporation's current location address is 2960 Tongass Ave, Ketchikan, Alaska. You can contact this provider via phone number 9072250320 and fax number 9072474819. The mailing address for Ketchikan Indian Corporation is 2960 Tongass Ave, Ketchikan, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Ketchikan Indian Corporation
Address 2960 Tongass Ave, Ketchikan, Alaska
Phone Number 9072250320
Fax Number 9072474819
Sole Proprietor --
Credentials --

Authorized Official

Title or Position RCM
Authorized Official Name Ross Wendy
Telephone Number 9072289254

NPI Number Detail

NPI Number 1699983361
Provider Enumeration Date 2007-05-18
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 2960 Tongass Ave
City Ketchikan
State Alaska (AK)
Post Code 999015742
Phone Number 9072250320
Fax Number 9072474819

Provider's Primary Taxonomy Detail

Speciality Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Taxonomy 332800000X
Definition:
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
202325 NCPDP NUMBER
PH2696 AK --

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FAQs about Ketchikan Indian Corporation

What is the unique 10-digit identifier code issued to Ketchikan Indian Corporation by the Centers for Medicare & Medicaid Services?

The Ketchikan Indian Corporation has been assigned the NPI (National Provider Identifier) 1699983361 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Ketchikan Indian Corporation is geographically located?

The Ketchikan Indian Corporation is physically situated at the following location: 2960 Tongass Ave, Ketchikan, AK, 999015742.

What is Ketchikan Indian Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ketchikan Indian Corporation's specialized field of practice is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 332800000X.

When was the Ketchikan Indian Corporation's 1699983361 issued?

The Ketchikan Indian Corporation's 1699983361 was issued on 2007-05-18.

As of what date were the details related to Ketchikan Indian Corporation most recently updated or revised?

The information pertaining to Ketchikan Indian Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.

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