HSWL FO KODIAK DET KETCHIKAN
NPI 1285948877
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure in Ketchikan, AK

Q: What is Hswl Fo Kodiak Det Ketchikan's NPI number?

The NPI number for Hswl Fo Kodiak Det Ketchikan is 1285948877. It was assigned to this organization in the NPPES registry on August 6, 2010. The provider was formerly known as Integrated Support Command Ketchikan.

Q: What is Hswl Fo Kodiak Det Ketchikan's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military and U.S. Coast Guard Ambulatory Procedure, with taxonomy code 261QM1101X.

Active since August 06, 2010

1300 STEDMAN ST, KETCHIKAN, AK 99901(907) 228-0320(907) 228-0255 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Hswl Fo Kodiak Det Ketchikan NPPES

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

HSWL FO KODIAK DET KETCHIKAN (NPI 1285948877), doing business as Integrated Support Command Ketchikan, is a healthcare organization registered as a military and u.s. coast guard ambulatory procedure in Ketchikan, Alaska and active in the NPI registry since August 2010. The organization lists Robert Bidwell, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1285948877

Entity TypeOrganization

Primary Taxonomy261QM1101X

Legal Business NameHSWL FO KODIAK DET KETCHIKAN

Location Address1300 STEDMAN STKetchikan, AK 99901-6661

Mailing Address1300 Stedman StKetchikan, AK 99901-6661 · (907) 228-0320 · Fax (907) 228-0255

Phone(907) 228-0320

Fax(907) 228-0255

Organization SubpartYesParent: U.s. Coast Guard

Authorized OfficialRobert BidwellClinic Administrator · (907) 228-0320

Enumeration DateAugust 6, 2010

✔ NPI 1285948877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureAmbulatory Health Care Facilities

Taxonomy Code261QM1101X

Definition

That part of a fixed (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a DoD or Coast Guard Clinic or a DoD Hospital. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport. Includes initial take home pharmaceuticals.

Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X

1300 STEDMAN ST, Ketchikan, AK 99901

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Other Names 1

Former Legal Business NameIntegrated Support Command Ketchikan

Other Providers at the Same Location NPPES 18

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

MICHAEL MCLARRIN HSC

Technician, Other

1300 STEDMAN ST, HEALTH SERVICES CLINIC
KETCHIKAN, AK 99901

Ketchikan Gateway Borough (907) 228-0351

SHEILA ANN ELLINGTON RDH

Dental Hygienist