Ketchikan Senior Center

LBN: Catholic Community Service
Ketchikan Senior Center is an health care organization with primary practice located at 1016 Water St , Ketchikan AK 99901-6147. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Meals, Agencies / Case Management. Other Service Providers / Meals is the primary health care specialty. Catholic Community Service can be contacted via phone (907) 463-6149, or through Carson, Jennifer via phone (907) 463-6162.

Contact Information

Primary practice address
1016 Water St Ketchikan AK 99901-6147
Phone: (907) 463-6149
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carson, Jennifer
Phone: (907) 463-6162

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Meals 174200000X
Agencies / Case Management 251B00000X

Profile Details

NPI number 1013035302
LBN Legal business name Catholic Community Service
DBA Doing business as Ketchikan Senior Center
Authorized official Carson, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Mar 30th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013035302 NPPES
Alaska MEDICAID 1004614
Alaska MEDICAID HC2652

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