PEACEHEALTH
NPI 1528544822
Medicare Defined Swing Bed Unit in Ketchikan, AK

Active since July 19, 2018CLIA Certified · 3 labs
3100 TONGASS AVE, KETCHIKAN, AK 99901(907) 225-5171 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2026, Dec 2, 2020, Jul 19, 2018 (3 updates tracked since 2018).

About Peacehealth NPPES

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

PEACEHEALTH (NPI 1528544822), doing business as Ketchikan Medical Center, is a healthcare organization registered as a medicare defined swing bed unit in Ketchikan, Alaska and active in the NPI registry since July 2018. The organization holds 3 active CLIA laboratory certificates and lists Arthur Craig Springer, Sys Vp Fin Integrity/controller, as its authorized official.

NPPES Registry Identity

NPI1528544822
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NamePEACEHEALTH
Location Address3100 TONGASS AVEKetchikan, AK 99901-5746
Mailing Address1115 Se 164th AveVancouver, WA 98683-9324 · (360) 729-1000
Organization SubpartNo
Authorized OfficialArthur Craig SpringerSys Vp Fin Integrity/controller · (360) 729-1132
Enumeration DateJuly 19, 2018
Last NPPES UpdateApril 16, 20263 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1528544822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.

3100 TONGASS AVE, Ketchikan, AK 99901

Other Names 1

Doing Business AsKetchikan Medical Center

CLIA Laboratory Certificates CMS CLIA 3

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 02D0641454

Peacehealth Ketchikan Medical Center Laboratory · Ketchikan, AK
Active · expires Feb 8, 2027
CLIA Number02D0641454
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Valerie C. Mcwhorter
Laboratory Phone(907) 225-5171
Laboratory LocationPeacehealth Ketchikan Medical Center Laboratory3100 Tongass Ave, Ketchikan, AK 99901
CLIA data matches this NPI record on: Address Name Phone
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 02D1008277

Peacehealth Ketchikan Medical Center Nursing Svc · Ketchikan, AK
Active · expires Jan 14, 2027
CLIA Number02D1008277
Laboratory TypeHospital
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorSarah Cook
Laboratory Phone(907) 225-5171
Laboratory LocationPeacehealth Ketchikan Medical Center Nursing Svc3100 Tongass Avenue, Ketchikan, AK 99901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D1017370

Peacehealth Squalicum Surgery Center · Bellingham, WA
Active · expires Apr 4, 2028
CLIA Number50D1017370
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 23, 2003
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLindsey Jackson
Laboratory Phone(360) 729-1000
Laboratory LocationPeacehealth Squalicum Surgery Center3009 Squalicum Pkwy, Bellingham, WA 98225
CLIA data matches this NPI record on: Name Phone
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.

Orthopaedic Surgery
3100 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Anesthetist, Certified Registered
3100 TONGASS AVE
KETCHIKAN, AK 99901
Obstetrics & Gynecology
3100 TONGASS AVE
KETCHIKAN, AK 99901
Nurse Anesthetist, Certified Registered
3100 TONGASS AVE
KETCHIKAN, AK 99901
Family Medicine
3100 TONGASS AVE
KETCHIKAN, AK 99901
Family Medicine
3100 TONGASS AVE
KETCHIKAN, AK 99901
Pediatrics
3100 TONGASS AVE
KETCHIKAN, AK 99901
Internal Medicine
3100 TONGASS AVE
KETCHIKAN, AK 99901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528544822, enumerated as an "organization" on July 19, 2018.

The provider is located at 3100 TONGASS AVE KETCHIKAN, AK 99901 and the phone number is (907) 225-5171.

Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.