Ketchikan Indian Corporation

LBN: Ketchikan Indian Corporation
Ketchikan Indian Corporation is an health care organization with primary practice located at 2960 Tongass Ave , Ketchikan AK 99901-5742. The organization recently has only one registered license in Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, which is considered as the primary health care specialty. Ketchikan Indian Corporation can be contacted via phone (907) 225-0320, or through Ross, Wendy via phone (907) 228-9254.

Contact Information

Primary practice address
2960 Tongass Ave Ketchikan AK 99901-5742
Phone: (907) 225-0320
Fax: (907) 247-4819
Website:
Map and Directions
Authorized official contact:
Name: Ross, Wendy
Phone: (907) 228-9254

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X

Profile Details

NPI number 1699983361
LBN Legal business name Ketchikan Indian Corporation
DBA Doing business as
Authorized official Ross, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1699983361 NPPES
Other 0202325 NCPDP NUMBER
MEDICAID PH2696 NCPDP NUMBER

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