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Contact Information

ISC KETCHIKAN-JUNEAU DETACHMENT
709 W 9TH ST
USCG MEDICAL ROOM 627
JUNEAU, AK99801-1807
 Phone: 907-463-2140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Military/U.S. Coast Guard Outpatient

261QM1100X
Indicates primary specialty

NPI Profile & details for ISC KETCHIKAN-JUNEAU DETACHMENT

NPI Number 1497731590
LBN Legal business name ISC KETCHIKAN-JUNEAU DETACHMENT
Authorized official JUAN PALACIO - (CHIEF OF HEALTH SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2005
Last updated 08/22/2020 - About 6 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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