Kic Social Services

LBN: Kic/Thc Behavioral Health Department
Kic Social Services is an health care organization with primary practice located at 2960 Tongass Ave Fl 1 , Ketchikan AK 99901-5742. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Kic/Thc Behavioral Health Department can be contacted via phone (907) 228-4917, or through Patton, Debbie via phone (907) 228-4926.

Contact Information

Primary practice address
2960 Tongass Ave Fl 1 Ketchikan AK 99901-5742
Phone: (907) 228-4917
Fax: (907) 228-4920
Website:
Map and Directions
Authorized official contact:
Name: Patton, Debbie Master of Public Administration (MPA)
Phone: (907) 228-4926

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Alaska

Profile Details

NPI number 1073766317
LBN Legal business name Kic/Thc Behavioral Health Department
DBA Doing business as Kic Social Services
Authorized official Patton, Debbie Master of Public Administration (MPA)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 30th, 2008
Last updated Oct 30th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073766317 NPPES
Alaska MEDICAID DA2696

Popular Providers