KETCHIKAN MEDICAL CENTER
NPI 1801965736
Radiology - Diagnostic Radiology in Ketchikan, AK
NPI Status: Active since November 07, 2006
Contact Information
3100 TONGASS AVE
KETCHIKAN, AK
ZIP 99901
Phone: (907) 228-8300
Fax: (907) 228-8518
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
About KETCHIKAN MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Ketchikan Medical Center, a provider established in Ketchikan, Alaska operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1801965736 assigned on November 2006. The practitioner's primary taxonomy code is 2085R0202X with license number NO NUMBERS ISSUED (AK). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Ketchikan Medical Center. The authorized official of this NPI record is Patrick J Branco (Ceo)
- NPI
- 1801965736
- Provider Legal Name
- PEACEHEALTH
- Other Organization Name
- KETCHIKAN MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3100 TONGASS AVE KETCHIKAN, AK 99901
- Location Phone
- (907) 228-8300
- Location Fax
- (907) 228-8518
- Mailing Address
- PO BOX 1798 BELLINGHAM, WA 98227
- Mailing Phone
- (360) 734-5400
- Mailing Fax
- (907) 228-8518
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-07-2006
- Last Update Date
- 08-31-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- NO NUMBERS ISSUED
- License State
- AK
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 176B00000X | Other Service Providers | Midwife | (AK) |
| 2 | 207L00000X | Allopathic & Osteopathic Physicians | Anesthesiology | (AK) |
| 3 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | (AK) |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (AK) |
| 5 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | (AK) |
| 6 | 207RS0012X | Allopathic & Osteopathic Physicians | Internal Medicine | (AK) |
| 7 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | (AK) |
| 8 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | NO NUMBERS ISSUED (AK) |
| 9 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | NO NUMBERS ISSUED (AK) |
| 10 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | NO NUMBERS ISSUED (AK) |
| 11 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | NO NUMBERS ISSUED (AK) |
| 12 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | NO NUMBERS ISSUED (AK) |
| 13 | 367500000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | (AK) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6110165 | OTHER (01) | AK | AETNA HOSPITAL PRO# |
| K0000ZBBBL | MEDICARE PIN (08) | AK | |
| MDG235 | MEDICAID (05) | AK | |
| 7695464 | OTHER (01) | AK | AETNA CLINIC PRO# |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1801965736, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
KETCHIKAN, AK 99901
KETCHIKAN, AK 99901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801965736, enumerated as an "organization" on November 07, 2006.
The provider is located at 3100 TONGASS AVE KETCHIKAN, AK 99901 and the phone number is (907) 228-8300.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Moda Health Plan, Inc., Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
