Ketchikan Gen Hosp Ltc

LBN: Peacehealth
Ketchikan Gen Hosp Ltc is an health care organization with primary practice located at 3100 Tongass Ave , Ketchikan AK 99901-5746. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as 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
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NO NUMBER ASSIGNED Alaska

Profile Details

NPI number 1851336176
LBN Legal business name Peacehealth
DBA Doing business as Ketchikan Gen Hosp Ltc
Authorized official Branco, Patrick J.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 19th, 2006
Last updated Sep 3rd, 2009 - about 17 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 1851336176 NPPES
Alaska MEDICAID HS04LT

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