Kodiak Community Health Center
LBN: Kodiak Island Health Care Foundation
Kodiak Community Health Center is an health care organization with primary practice located at 1911 E Rezanof Dr. , Kodiak AK 99615. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Kodiak Island Health Care Foundation can be contacted via phone (907) 481-5000, or through Austerman, Carol via phone (907) 481-5002.
Contact Information
Primary practice address
1911 E Rezanof Dr.
Kodiak AK 99615
Phone: (907) 481-5000
Fax: (907) 481-5030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 297211 | Alaska |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 297211 | Alaska |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1326047044 |
|---|---|
| LBN Legal business name | Kodiak Island Health Care Foundation |
| DBA Doing business as | Kodiak Community Health Center |
| Authorized official | Austerman, Carol |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jun 24th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326047044 | NPPES |
| Alaska | MEDICAID | RH462FQ |
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