Integrated Support Command Ketchikan

LBN: Hswl Fo Kodiak Det Ketchikan
Integrated Support Command Ketchikan is an health care organization with primary practice located at 1300 Stedman St , Ketchikan AK 99901-6661. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure is the primary health care specialty. Hswl Fo Kodiak Det Ketchikan can be contacted via phone (907) 228-0320, or through Bidwell, Robert via phone (907) 228-0320.

Contact Information

Primary practice address
1300 Stedman St Ketchikan AK 99901-6661
Phone: (907) 228-0320
Fax: (907) 228-0255
Website:
Map and Directions
Authorized official contact:
Name: Bidwell, Robert
Phone: (907) 228-0320

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Military and U.S. Coast Guard Ambulatory Procedure 261QM1101X
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X

Profile Details

NPI number 1285948877
LBN Legal business name Hswl Fo Kodiak Det Ketchikan
DBA Doing business as Integrated Support Command Ketchikan
Authorized official Bidwell, Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 6th, 2010
Last updated Aug 6th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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