<Unavail>

LBN: Integrated Support Command Kodiak
<Unavail> is an health care organization with primary practice located at Building N46 Cape Sarichef , Kodiak AK 99619-5002. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Dental, Laboratories / Military Clinical Medical Laboratory, Suppliers / Military/U.S. Coast Guard Pharmacy. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Integrated Support Command Kodiak can be contacted via phone (907) 487-5757, or through Emerson, Todd Lane via phone (907) 487-5757.

Contact Information

Primary practice address
Building N46 Cape Sarichef Kodiak AK 99619-5002
Phone: (907) 487-5757
Fax: (907) 487-5360
Website:
Map and Directions
Authorized official contact:
Name: Emerson, Todd Lane CLINIC ADMINISTRATOR
Phone: (907) 487-5757

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Alaska
Ambulatory Health Care Facilities / Dental 261QD0000X Alaska
Laboratories / Military Clinical Medical Laboratory 291900000X 02D0666660 Alaska
Suppliers / Military/U.S. Coast Guard Pharmacy 332000000X NCPDP0202414 Alaska

Profile Details

NPI number 1720064884
LBN Legal business name Integrated Support Command Kodiak
DBA Doing business as <Unavail>
Authorized official Emerson, Todd Lane CLINIC ADMINISTRATOR
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 21st, 2005
Last updated Jul 28th, 2008 - about 18 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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