| Kic Tribal Health Clinic | |
|
2960 Tongass Ave Ketchikan AK 99901-5742 | |
| (907) 228-4900 | |
| (907) 228-4905 |
| Full Name | Kic Tribal Health Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2960 Tongass Ave, Ketchikan, Alaska |
| Authorized Official Name and Position | Marsha M Ramirez (DIABETES COORDINATOR) |
| Authorized Official Contact | 9072284900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kic Tribal Health Clinic 2960 Tongass Ave Ketchikan AK 99901-5742 Ph: (907) 228-4900 | Kic Tribal Health Clinic 2960 Tongass Ave Ketchikan AK 99901-5742 Ph: (907) 228-4900 |
| NPI Number | 1043533946 |
|---|---|
| Provider Enumeration Date | 03/05/2010 |
| Last Update Date | 03/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043533946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 10728 (Alaska) | Primary |
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