KIC TRIBAL HEALTH CLINIC
NPI 1396153649
Clinic/Center - Dental in Ketchikan, AK

Active since July 31, 2014
2960 TONGASS AVE, KETCHIKAN, AK 99901(907) 228-9200(800) 887-8796 Get Directions Write a Review

NPPES record last updated: July 31, 2014. 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 1396153649) is a healthcare organization registered as a dental in Ketchikan, Alaska and active in the NPI registry since July 2014. The organization lists Steve F Hudson, Health Administrator, as its authorized official.

NPPES Registry Identity

NPI1396153649
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKETCHIKAN INDIAN CORPORATION
Location Address2960 TONGASS AVEKetchikan, AK 99901-5742
Mailing Address2960 Tongass AveKetchikan, AK 99901-5742 · (907) 228-9200 · Fax (800) 887-8796
Fax(800) 887-8796
Organization SubpartNo
Authorized OfficialSteve F HudsonHealth Administrator · (907) 228-9253
Enumeration DateJuly 31, 2014
NPI 1396153649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in AK · 378
2960 TONGASS AVE, Ketchikan, AK 99901

Other Names 1

Doing Business AsKic Tribal Health Clinic

Other Identifiers 1

Other378AK · Business Professional License

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.

Registered Nurse
2960 TONGASS AVE
KETCHIKAN, AK 99901
Registered Nurse
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Clinic/Center (Federally Qualified Health Center (FQHC))
2960 TONGASS AVE
KETCHIKAN, AK 99901
Pharmacy Technician
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Pharmacist
2960 TONGASS AVE
KETCHIKAN, AK 99901
Dentist
2960 TONGASS AVE, SUITE #403
KETCHIKAN, AK 99901
Social Worker (Clinical)
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901
Registered Nurse
2960 TONGASS AVE, SUITE 403
KETCHIKAN, AK 99901

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 1396153649. It was assigned to this organization in the NPPES registry on July 31, 2014. The provider is doing business as Kic Tribal Health Clinic.

Where is Ketchikan Indian Corporation located?

Ketchikan Indian Corporation is located at 2960 Tongass Ave, Ketchikan, AK 99901. The listed phone number is (907) 228-9200.

What is Ketchikan Indian Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Ketchikan Indian Corporation was last updated on July 31, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.