HSWL FO KODIAK DET KETCHIKAN

Military and U.S. Coast Guard Ambulatory Procedure

That part of a ?fixed? (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial ?take home? pharmaceuticals.

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Contact Information

HSWL FO KODIAK DET KETCHIKAN

1300 STEDMAN ST
KETCHIKAN, AK 99901-6661

Phone: 907-228-0320
Fax: 907-228-0255
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Military and U.S. Coast Guard Ambulatory Procedure	261QM1101X
Military/U.S. Coast Guard Pharmacy	332000000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for HSWL FO KODIAK DET KETCHIKAN

NPI Number	`1285948877`
LBN Legal business name	HSWL FO KODIAK DET KETCHIKAN
Authorized official	ROBERT BIDWELL - (CLINIC ADMINISTRATOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	08/06/2010
Last updated	08/06/2010 - About 16 years ago
Identifiers	n/a

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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