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Contact Information

ALASKA ISLAND COMMUNITY SERVICES
333 CHURCH ST
WRANGELL, AK99929
 Phone: 907-874-5005
 Fax: 907-874-4719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ALASKA ISLAND COMMUNITY SERVICES

NPI Number 1710216544
LBN Legal business name ALASKA ISLAND COMMUNITY SERVICES
Authorized official MARK WALKER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2009
Last updated 03/15/2017 - About 9 years ago
Identifiers
AK License # 471
Other 2122841 PK
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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