Ketchikan Medical Center

LBN: Peacehealth
Ketchikan Medical Center is an health care organization with primary practice located at 3100 Tongass Ave , Ketchikan AK 99901-5746. The organization recently has 14 registered licenses in different health care specialties including Other Service Providers / Midwife, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. Peacehealth can be contacted via phone (907) 228-8300, or through Branco, Patrick J via phone (907) 228-8300.

Contact Information

Primary practice address
3100 Tongass Ave Ketchikan AK 99901-5746
Phone: (907) 228-8300
Fax: (907) 228-8518
Website:
Map and Directions
Authorized official contact:
Name: Branco, Patrick J
Phone: (907) 228-8300

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X Alaska
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Alaska
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Alaska
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Alaska
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X Alaska
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Alaska
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X NO NUMBERS ISSUED Alaska
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X NO NUMBERS ISSUED Alaska
Allopathic & Osteopathic Physicians / Pediatrics 208000000X NO NUMBERS ISSUED Alaska
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X NO NUMBERS ISSUED Alaska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X NO NUMBERS ISSUED Alaska
Allopathic & Osteopathic Physicians / Surgery 208600000X NO NUMBERS ISSUED Alaska
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X Alaska

Profile Details

NPI number 1801965736
LBN Legal business name Peacehealth
DBA Doing business as Ketchikan Medical Center
Authorized official Branco, Patrick J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Aug 31st, 2011 - about 15 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 1801965736 NPPES
Alaska Other 6110165 AETNA HOSPITAL PRO#
Alaska Other 7695464 AETNA HOSPITAL PRO#
Alaska MEDICAID MDG235 AETNA HOSPITAL PRO#

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