Hswl Fo Kodiak Det Ketchikan
Hswl Fo Kodiak Det Ketchikan is a Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center in Ketchikan, Alaska. Registered with an NPI since 2010.
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
1300 Stedman StKetchikan, AK 99901-6661
Phone: (907) 228-0320
Fax: (907) 228-0255
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center (primary) | Taxonomy 261QM1101X |
|---|---|
| Military/U.S. Coast Guard Pharmacy | Taxonomy 332000000X |
Record details
| NPI number | 1285948877 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | US Coast Guard |
| Authorized official | Robert Bidwell — Clinic Administrator · (907) 228-0320 |
| Other names | Integrated Support Command Ketchikan |
| NPI enumerated | August 6, 2010 |
| Last updated in NPPES | August 6, 2010 |
| Mailing address | 1300 Stedman St, Ketchikan, AK 99901-6661 |