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Contact Information

CITY OF KETCHIKAN-GATEWAY CENTER FOR HUMAN SERVICES
3050 5TH AVE
KETCHIKAN, AK99901-5773
 Phone: 907-225-4135
 Fax: 907-247-4135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for CITY OF KETCHIKAN-GATEWAY CENTER FOR HUMAN SERVICES

NPI # 1467445296
LBN Legal business name CITY OF KETCHIKAN-GATEWAY CENTER FOR HUMAN SERVICES
Authorized official KARL AMYLON - (CITY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2005
Last updated 09/11/2025 - About 9 months ago
Identifiers
AK Medicaid DA4438
AK Medicaid DA7113
AK Medicaid MH0133
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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