Clinic/Center in KODIAK, AK
Last Updated on : Jul 28,2008
INTEGRATED SUPPORT COMMAND KODIAK is a Clinic/Center in KODIAK, United States .
1720064884 is NPI number of INTEGRATED SUPPORT COMMAND KODIAK.
INTEGRATED SUPPORT COMMAND KODIAK's primary taxonomy code based on NPI Lookup is 261Q00000X with license number . This taxonomy code refers to Clinic/Center.
INTEGRATED SUPPORT COMMAND KODIAK current practice location address is BUILDING N 46 CAPE SARLCHEF, KODIAK, AK. INTEGRATED SUPPORT COMMAND KODIAK can be reached out via phone at 907-487-5757 and via fax at 907-487-5360 .
You can also correspond with INTEGRATED SUPPORT COMMAND KODIAK through mail at mailing address BUILDING N46 CAPE SARICHEF, KODIAK, AK, United States. Mailing address contact number is 907-487-5757.
The enumeration date of INTEGRATED SUPPORT COMMAND KODIAK is 21-Dec-2005. The provider is registered as an Organization and the NPI record was last updated 15 years ago. The authorized official of INTEGRATED SUPPORT COMMAND KODIAK is Todd Emerson (Clinic Administrator). Todd Emerson can be reached at 9074875757.Basic NPI information of INTEGRATED SUPPORT COMMAND KODIAK (NPI 1720064884) is provided below.
Name | INTEGRATED SUPPORT COMMAND KODIAK |
---|---|
National Provider Id (NPI) | 1720064884 |
Entity Type | Organization |
Practice Address | BUILDING N 46 CAPE SARLCHEF,
KODIAK, AK, United States |
Practice Telephone | 907-487-5757 |
Practice Fax Number | 907-487-5360 |
Mailing Address | BUILDING N46 CAPE SARICHEF ,
KODIAK, AK, United States |
Mailing Telephone | 907-487-5757 |
Mailing Fax Number | 907-487-5360 |
Enumeration Date | 21-Dec-2005 |
Last Updated Date | 28-Jul-2008 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | AK |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
N | 261QD0000X | Clinic/Center, Dental | AK | |
N | 291900000X | Military Clinical Medical Laboratory | 02D0666660 | AK |
N | 332000000X | MilitaryU.S. Coast Guard Pharmacy | NCPDP0202414 | AK |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1588721195 | JOHN M KOLLER | Family Medicine | PO BOX 1126,
KODIAK, AK, United States |
02-Jan-2007 |
1346661758 | MARILYN CURTIS | Counselor, School | 717 REZANOF DR E,
KODIAK, AK, United States |
02-Jan-2014 |
1609051986 | KODIAK ISLAND MEDICAL ASSOCIATES LLC | Clinic/Center, Multi-Specialty | 1818 E REZANOF DR,
KODIAK, AK, United States |
04-Jan-2008 |
1275863888 | MELODY DAWN LIVNGSTON | Social Worker, Clinical | 3601 SHARATIN RD # A,
KODIAK, AK, United States |
04-Jan-2010 |
1568792141 | KATHLEEN NUSSBAUM | Nurse Practitioner | 1915 REZANOF DR E,
KODIAK, AK, United States |
05-Jan-2010 |
1346587714 | DONENE AMODO | Community Health Worker | 3449 E REZANOF DR,
KODIAK, AK, United States |
05-Jan-2013 |
1790022168 | WAYNE SARGENT | Community Health Worker | 3449 E REZANOF DR,
KODIAK, AK, United States |
05-Jan-2013 |
1518204981 | JOANNE VAUDRIN | Community Health Worker | 3449 E REZANOF DR,
KODIAK, AK, United States |
05-Jan-2013 |
1609298827 | ANNE NAROG | Nurse Practitioner, Family | 3720 GULL DR,
KODIAK, AK, United States |
07-Jan-2014 |
1245696210 | SAMANTHA FAITH MARLAR-ENBOM | Counselor, Mental Health | 3449 E REZANOF DR,
KODIAK, AK, United States |
06-Jan-2016 |
1124176227 | EVELYN WISZINCKAS | Psychologist, Clinical | 104 CENTER STREET,
SUITE 202 KODIAK, AK, United States |
08-Jan-2007 |
1083767826 | LAURA MARIE CREIGHTON | Chiropractor | PO BOX 8963,
KODIAK, AK, United States |
18-Jan-2007 |
1750828414 | MARY JEAN FRANCISCO | Case Manager/Care Coordinator | 717 E REZANOF DR,
KODIAK, AK, United States |
19-Jan-2017 |
1639220288 | AMELIA LOPEZ | Preventive Medicine, Public Health & General Preventive Medicine | 3449 E REZANOF DR,
KODIAK, AK, United States |
12-Jan-2007 |
1083765317 | KEN E MCCARTY | Counselor, Mental Health | 1423 SIMEONOF ST.,
KODIAK, AK, United States |
15-Jan-2007 |
1073850707 | CASEY QUINN JOHNSON MINO | Pharmacist | 12749 MIDDLE BAY DR,
KODIAK, AK, United States |
15-Jan-2013 |
1689727539 | ELAINE A. JERGONS | Military Health Care Provider, Independent Duty Corpsman | BUILDING 26-A,
KODIAK, AK, United States |
22-Jan-2007 |
1194056473 | MICHELLE ANGELA PAGSOLINGAN | Licensed Practical Nurse | 302 ERSKINE AVE,
KODIAK, AK, United States |
26-Jan-2010 |
1205258696 | JONATHAN SALAMANES CABRERA | Case Manager/Care Coordinator | 717 REZANOF DR E,
KODIAK, AK, United States |
20-Jan-2014 |
1366596504 | KODIAK ISLAND AMBULATORY CARE CLINIC INC. | Clinic/Center, Urgent Care | 202 CENTER AVE,
STE. 102 KODIAK, AK, United States |
23-Jan-2007 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1720064884 is the NPI number of INTEGRATED SUPPORT COMMAND KODIAK.
Where is INTEGRATED SUPPORT COMMAND KODIAK located?INTEGRATED SUPPORT COMMAND KODIAK is located at BUILDING N 46 CAPE SARLCHEF, KODIAK, AK.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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