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KETCHIKAN INDIAN COMMUNITY
NPI 1205159571
Clinic/Center - Mental Health (Including Community Mental Health Center) in Ketchikan, AK

Active since March 01, 2010CLIA Certified · 2 labs
2960 TONGASS AVE, KETCHIKAN, AK 99901(907) 228-4941(907) 228-4920 Get Directions Write a Review

NPPES record last updated: November 24, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ketchikan Indian Community NPPES

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

KETCHIKAN INDIAN COMMUNITY (NPI 1205159571) is a healthcare organization registered as a mental health (including community mental health center) in Ketchikan, Alaska and active in the NPI registry since March 2010. The organization holds 2 active CLIA laboratory certificates and lists Debbie Patton, General Manager, as its authorized official.

NPPES Registry Identity

NPI1205159571
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameKETCHIKAN INDIAN CORPORATION
Location Address2960 TONGASS AVEKetchikan, AK 99901-5742
Mailing Address2960 Tongass AveKetchikan, AK 99901-5742 · (907) 228-4941 · Fax (907) 228-4920
Phone(907) 228-4941
Fax(907) 228-4920
Organization SubpartNo
Authorized OfficialDebbie PattonGeneral Manager · (907) 228-4926
Enumeration DateMarch 1, 2010
Last NPPES UpdateNovember 24, 2010
✔ NPI 1205159571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2960 TONGASS AVE, Ketchikan, AK 99901
Open in Google Maps ↗

Other Names 1

Other NameKetchikan Indian Community

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 02D0934737

Ketchikan Indian Community Tribal Health Clinic · Ketchikan, AK
Active · expires Oct 20, 2026
CLIA Number02D0934737
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorMr. Christopher M. Schwankl
Laboratory Phone(907) 228-9201
Laboratory LocationKetchikan Indian Community Tribal Health Clinic2960 Tongass Ave Attn Lab, Ketchikan, AK 99901
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 02D2236636

Ketchikan Indian Community Behavioral Health Clinic · Ketchikan, AK
Active · expires Sep 18, 2027
CLIA Number02D2236636
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorChristopher M. Schwankl
Laboratory Phone(907) 228-9203
Laboratory LocationKetchikan Indian Community Behavioral Health Clinic201 Deermount St, Ste 200, Ketchikan, AK 99901
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

JOSEPH THOMAS FROST R.D.
Nutritionist (Nutrition, Education)
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
ELMER JOSEPH GUERRERO DDS
Dentist
2960 TONGASS AVE, SUITE #403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
LISA MARIE BEZENEK HYGIENIST
Dental Hygienist
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
JANA MARIE TOWNE RN
Registered Nurse
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
ESPERANZA M. REDELFS CSW
Social Worker (Clinical)
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
CONSTANCE SUZANNE STEWART HYGIENIST
Dental Hygienist
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
VALERIE LEE HALL RN
Registered Nurse
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Ketchikan Gateway Borough (907) 228-4902
WILLIAM S. HARDY CSW
Social Worker (Clinical)
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 Ketchikan Indian Corporation's NPI number?

The NPI number for Ketchikan Indian Corporation is 1205159571. It was assigned to this organization in the NPPES registry on March 1, 2010.

Where is Ketchikan Indian Corporation located?

Ketchikan Indian Corporation is located at 2960 Tongass Ave, Ketchikan, AK 99901. The listed phone number is (907) 228-4941.

What is Ketchikan Indian Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Ketchikan Indian Corporation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ketchikan Indian Corporation was last updated on November 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.