| Ketchikan Indian Community | |
|
2960 Tongass Ave Ketchikan AK 99901-5742 | |
| (907) 228-4917 | |
| (907) 228-4920 |
| Full Name | Ketchikan Indian Community |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2960 Tongass Ave, Ketchikan, Alaska |
| Authorized Official Name and Position | Sue Pickrell (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 9072284917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketchikan Indian Community 2960 Tongass Ave Ketchikan AK 99901-5742 Ph: () - | Ketchikan Indian Community 2960 Tongass Ave Ketchikan AK 99901-5742 Ph: (907) 228-4917 |
| NPI Number | 1588834154 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 05/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588834154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1300 (Ohio) | Primary |
| 251S00000X | Community/behavioral Health | C.0501146 (Ohio) | Secondary |
Rainwood Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 Water St Ste 202, Ketchikan, AK 99901 Phone: 907-220-4789 Fax: 800-215-6101 | |
Residential Youth Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3955 S Tongass Hwy, Ketchikan, AK 99901 Phone: 907-220-7299 Fax: 907-885-6613 | |
Residential Youth Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2514 1st Avenue, Ketchikan, AK 99901 Phone: 907-225-4664 Fax: 907-885-6613 | |
Oilean Wellbeing, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1621 Tongass Ave, Ste. 207, Ketchikan, AK 99901 Phone: 907-821-2161 Fax: 888-492-1678 | |
Kic Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave Fl 1, Ketchikan, AK 99901 Phone: 907-228-4917 Fax: 907-228-4920 | |
Alaska Counselor Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Tongass Ave, Ketchikan, AK 99901 Phone: 907-220-6090 | |
Ketchikan Indian Community Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 Tongass Ave, Ketchikan, AK 99901 Phone: 907-228-4941 Fax: 907-228-4920 |