KIC TRIBAL HEALTH CLINIC
NPI 1821120486
Clinic/Center - Primary Care in Ketchikan, AK

Active since March 09, 2007
2960 TONGASS AVE, BUSINESS OFFICE, KETCHIKAN, AK 99901(907) 228-9200(800) 887-8796 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2021, Sep 23, 2016 (2 updates tracked since 2016).

About Kic Tribal Health Clinic NPPES

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

KIC TRIBAL HEALTH CLINIC (NPI 1821120486) is a healthcare organization registered as a primary care in Ketchikan, Alaska and active in the NPI registry since March 2007. The organization lists Wendy Ross, Rcm, as its authorized official.

NPPES Registry Identity

NPI1821120486
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameKETCHIKAN INDIAN CORPORATION
Location Address2960 TONGASS AVE, BUSINESS OFFICEKetchikan, AK 99901-5742
Mailing Address2960 Tongass Ave, Business OfficeKetchikan, AK 99901-5742 · (907) 228-9200 · Fax (800) 887-8796
Fax(800) 887-8796
Organization SubpartNo
Authorized OfficialWendy RossRcm · (907) 228-9254
Enumeration DateMarch 9, 2007
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
NPI 1821120486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in AK · 78545
Also ListedPharmacistTaxonomy 183500000X · License 78545 (AK)
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 78545 (AK)
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 78545 (AK)
2960 TONGASS AVE, Ketchikan, AK 99901

Other Names 1

Doing Business AsKic Tribal Health Clinic

Other Identifiers 1

MedicaidCL2696AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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.

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 1821120486. It was assigned to this organization in the NPPES registry on March 9, 2007. 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 Business Office, 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 Primary Care, with taxonomy code 261QP2300X.

What insurance does Ketchikan Indian Corporation accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Ketchikan Indian Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ketchikan Indian Corporation was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.