| First City Medicine Llc | |
|
212 Carlanna Lake Rd Ste 201 Box 6755 Ketchikan AK 99901-5642 | |
| (907) 247-3301 | |
| (907) 247-3306 |
| Full Name | First City Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 212 Carlanna Lake Rd Ste 201, Ketchikan, Alaska |
| Authorized Official Name and Position | Stacy N Schulz (MANAGER) |
| Authorized Official Contact | 9072473301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First City Medicine Llc 212 Carlanna Lake Rd Ste 201 Box 6755 Ketchikan AK 99901-5642 Ph: (907) 247-3301 | First City Medicine Llc 212 Carlanna Lake Rd Ste 201 Box 6755 Ketchikan AK 99901-5642 Ph: (907) 247-3301 |
| NPI Number | 1417031618 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417031618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 306825 (Alaska) | Primary |
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