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INTEGRATED SUPPORT COMMAND KODIAK , NPI 1720064884

Clinic/Center in KODIAK, AK

Last Updated on : Jul 28,2008

INTEGRATED SUPPORT COMMAND KODIAK , NPI 1720064884

About INTEGRATED SUPPORT COMMAND KODIAK (NPI 1720064884)


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.

1720064884 NPI Information

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

INTEGRATED SUPPORT COMMAND KODIAK (NPI 1720064884) Primary Taxonomy Information

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).

INTEGRATED SUPPORT COMMAND KODIAK (NPI 1720064884) Secondary Taxonomy Information

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

INTEGRATED SUPPORT COMMAND KODIAK (NPI 1720064884) Office Location

Office location of INTEGRATED SUPPORT COMMAND KODIAK is provided in the Google maps below.

Providers in same location

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

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1720064884?

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.

NPI number meaning

Field Name Field Value
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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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