| Island Medical Services Inc | |
|
3526 Tongass Ave Ketchikan AK 99901-5635 | |
| (907) 228-3075 | |
| Not Available |
| Full Name | Island Medical Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3526 Tongass Ave, Ketchikan, Alaska |
| Authorized Official Name and Position | Barry Christensen (DIRECTOR) |
| Authorized Official Contact | 9072283075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Medical Services Inc 3526 Tongass Ave Ketchikan AK 99901-5635 Ph: (907) 228-3075 | Island Medical Services Inc 3526 Tongass Ave Ketchikan AK 99901-5635 Ph: (907) 228-3075 |
| NPI Number | 1457083958 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 3476934217 |
|---|---|
| Medicare Enrollment ID | O20220725003065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457083958 | NPI | - | NPPES |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20220705001509 |
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