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KIC TRIBAL HEALTH CLINIC
NPI 1124341896
Clinic/Center - Health Service in Ketchikan, AK

Active since March 09, 2010
2960 TONGASS AVE, KETCHIKAN, AK 99901(907) 228-4900(907) 228-4905 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kic Tribal Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIC TRIBAL HEALTH CLINIC (NPI 1124341896) is a healthcare organization registered as a health service in Ketchikan, Alaska and active in the NPI registry since March 2010. The organization lists Debbie Patton, General Manager, as its authorized official.

NPPES Registry Identity

NPI1124341896
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameKIC TRIBAL HEALTH CLINIC
Location Address2960 TONGASS AVEKetchikan, AK 99901-5742
Mailing Address2960 Tongass AveKetchikan, AK 99901-5742 · (907) 228-4900 · Fax (907) 228-4905
Phone(907) 228-4900
Fax(907) 228-4905
Organization SubpartNo
Authorized OfficialDebbie PattonGeneral Manager · (907) 228-4941
Enumeration DateMarch 9, 2010
✔ NPI 1124341896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in AK · 11131
2960 TONGASS AVE, Ketchikan, AK 99901
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VELIA INEZ TURKNETT RN
Registered Nurse
2960 TONGASS AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4900
YAMILE MARIE ROBINSON RN
Registered Nurse
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4900
KIC TRIBAL HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
2960 TONGASS AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4900
SHARON ROSE ASTRY
Pharmacy Technician
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
MAXX RITCHIE KEIZER PHARMD
Pharmacist
2960 TONGASS AVE
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4900
ELMER JOSEPH GUERRERO DDS
Dentist
2960 TONGASS AVE, SUITE #403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
JASMINE F. STEWART CSW
Social Worker (Clinical)
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
CAROL ANNE MURRAY RN
Registered Nurse
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kic Tribal Health Clinic's NPI number?

The NPI number for Kic Tribal Health Clinic is 1124341896. It was assigned to this organization in the NPPES registry on March 9, 2010.

Where is Kic Tribal Health Clinic located?

Kic Tribal Health Clinic is located at 2960 Tongass Ave, Ketchikan, AK 99901. The listed phone number is (907) 228-4900.

What is Kic Tribal Health Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Kic Tribal Health Clinic was last updated on March 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.