KETCHIKAN MEDICAL CENTER - NPI 1801965736 - Radiology in Ketchikan, AK

Q: What is Peacehealth's NPI number?

The NPI number for Peacehealth is 1801965736. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Ketchikan Medical Center.

Q: What is Peacehealth's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Peacehealth was last updated on August 31, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ketchikan Medical Center NPPES

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

KETCHIKAN MEDICAL CENTER (NPI 1801965736) is a healthcare organization registered as a diagnostic radiology in Ketchikan, Alaska and active in the NPI registry since November 2006. The organization lists Patrick J Branco, Ceo, as its authorized official.

NPPES Registry Identity

NPI1801965736

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NamePEACEHEALTH

Location Address3100 TONGASS AVEKetchikan, AK 99901-5746

Mailing AddressPo Box 1798Bellingham, WA 98227-1798 · (360) 734-5400 · Fax (360) 715-6552

Phone(907) 228-8300

Fax(907) 228-8518

Organization SubpartNo

Authorized OfficialPatrick J BrancoCeo · (907) 228-8300

Enumeration DateNovember 7, 2006

Last NPPES UpdateAugust 31, 2011

✔ NPI 1801965736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in AK · NO NUMBERS ISSUED

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedMidwifeTaxonomy 176B00000X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License NO NUMBERS ISSUED (AK)

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License NO NUMBERS ISSUED (AK)

Also ListedPediatricsTaxonomy 208000000X · License NO NUMBERS ISSUED (AK)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License NO NUMBERS ISSUED (AK)

Also ListedSurgeryTaxonomy 208600000X · License NO NUMBERS ISSUED (AK)

Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X

3100 TONGASS AVE, Ketchikan, AK 99901

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Other Names 1

Doing Business AsKetchikan Medical Center

Other Identifiers 4

Other6110165AK · Aetna Hospital Pro#

Medicare PINK0000ZBBBLAK

MedicaidMDG235AK

Other7695464AK · Aetna Clinic Pro#

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

UROLOGY NORTHWEST, PS

Urology

3100 TONGASS AVE, 3RD FLOOR VISITING CLINIC
KETCHIKAN, AK 99901

Ketchikan Gateway Borough (855) 881-5319

SCOTT MYERS KIRCHNER MD

Internal Medicine