ROTARY HOUSE OF KETCHIKAN INC; NPI #1598978983

Contact Information

ROTARY HOUSE OF KETCHIKAN INC

320 BAWDEN ST
KETCHIKAN, AK 99901-6503

Phone: 907-225-5131
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Voluntary or Charitable	251V00000X	61	Voluntary Health or Charitable Agency[1]

Indicates primary specialty

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NPI Profile & details for ROTARY HOUSE OF KETCHIKAN INC

NPI Number 1598978983

LBN Legal business name ROTARY HOUSE OF KETCHIKAN INC

Authorized official PATRICK BRANCO - (BOARD MEMBER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/08/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

AK	License #	222744
AK	Medicaid	HM2227

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ROTARY HOUSE OF KETCHIKAN INC

Contact Information

Specialty

Voluntary or Charitable

NPI Profile & details for ROTARY HOUSE OF KETCHIKAN INC

Reviews for ROTARY HOUSE OF KETCHIKAN INC