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ISC KETCHIKAN-JUNEAU DETACHMENT
NPI 1497731590
Clinic/Center - Military/U.S. Coast Guard Outpatient in Juneau, AK

Active since December 20, 2005
709 W 9TH ST, USCG MEDICAL ROOM 627, JUNEAU, AK 99801(907) 463-2140 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Isc Ketchikan-juneau Detachment NPPES

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

ISC KETCHIKAN-JUNEAU DETACHMENT (NPI 1497731590) is a healthcare organization registered as a military/u.s. coast guard outpatient in Juneau, Alaska and active in the NPI registry since December 2005. The organization lists Juan Esteban Palacio, Chief Of Health Services, as its authorized official.

NPPES Registry Identity

NPI1497731590
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameISC KETCHIKAN-JUNEAU DETACHMENT
Location Address709 W 9TH ST, USCG MEDICAL ROOM 627Juneau, AK 99801-1807
Mailing Address709 W 9th St, Uscg Medical Room 627Juneau, AK 99801-1807
Phone(907) 463-2140
Organization SubpartNo
Authorized OfficialJuan Esteban PalacioChief Of Health Services · (907) 463-2140
Enumeration DateDecember 20, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1497731590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
709 W 9TH ST, Juneau, AK 99801
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Other Providers at the Same Location NPPES 16

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

MRS. STEPHANIE DENISE HARRIS
Technician, Other
709 W 9TH ST
JUNEAU, AK 99801
Juneau City And Borough (907) 463-2152
MS. NADIA S. JONES REGISTERED NURSE
Registered Nurse (Medical-Surgical)
709 W 9TH ST
JUNEAU, AK 99801
Juneau City And Borough (907) 463-2140
SUSAN C BOYCE R.N.
Registered Nurse
709 W 9TH ST, SUITE 150
JUNEAU, AK 99801
Juneau City And Borough (907) 796-4300
MARTHA ELLEN UTLEY HS
Technician, Other
709 W 9TH ST
JUNEAU, AK 99801
Juneau City And Borough (907) 463-2146
MRS. ANDREA M BORNY RN, BSN
Registered Nurse
709 W 9TH ST, SUITE 627
JUNEAU, AK 99801
Juneau City And Borough (907) 463-2140
MRS. LEIGH C LYKINS
Dental Assistant
709 W 9TH ST, STE 627
JUNEAU, AK 99801
Juneau City And Borough (907) 463-2140
ANCHORAGE VAMC
Clinic/Center (VA)
709 W 9TH ST
JUNEAU, AK 99801
Juneau City And Borough (702) 341-3164
CASSANDRA JEAN BROCKETT HEALTH SERVICES TECH
Technician, Other
709 W 9TH ST
JUNEAU, AK 99801
Juneau City And Borough (907) 463-2140

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 Isc Ketchikan-Juneau Detachment's NPI number?

The NPI number for Isc Ketchikan-Juneau Detachment is 1497731590. It was assigned to this organization in the NPPES registry on December 20, 2005.

Where is Isc Ketchikan-Juneau Detachment located?

Isc Ketchikan-Juneau Detachment is located at 709 W 9th St Uscg Medical Room 627, Juneau, AK 99801. The listed phone number is (907) 463-2140.

What is Isc Ketchikan-Juneau Detachment's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Isc Ketchikan-Juneau Detachment was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.