ALASKA ISLAND COMMUNITY SERVICES; NPI #1528288578

Contact Information

ALASKA ISLAND COMMUNITY SERVICES

333 CHURCH STREET
WRANGELL, AK 99929-1231

Phone: 907-874-2373
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for ALASKA ISLAND COMMUNITY SERVICES

NPI Number 1528288578

LBN Legal business name ALASKA ISLAND COMMUNITY SERVICES

Authorized official MARK WALKER - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/01/2007

Last updated 10/29/2008 - About 18 years ago

Identifiers

License #

253502

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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