ISC KETCHIKAN-JUNEAU DETACHMENT – NPI #1497731590
Clinic/Center

The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

Health Care Provider Taxonomy Code for Clinic/Center

ISC KETCHIKAN-JUNEAU DETACHMENT is an AHC clinic located in JUNEAU, AK. NPPES has assigned the NPI number 1497731590 to ISC KETCHIKAN-JUNEAU DETACHMENT on December 20, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1100X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ISC KETCHIKAN-JUNEAU DETACHMENT below.

NPI Profile for
ISC KETCHIKAN-JUNEAU DETACHMENT

NPI Number
1497731590
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ISC KETCHIKAN-JUNEAU DETACHMENT
Primary location
709 W 9TH ST
USCG MEDICAL ROOM 627
JUNEAU, AK 99801-1807
Phone: (907) 463-2140 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUAN PALACIO
CHIEF OF HEALTH SERVICES
Phone: (907) 463-2140
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1100X
- Clinic/Center / Military/U.S. Coast Guard Outpatient (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.