NPI 1801965736 · live from the CMS NPI Registry
Peacehealth
Radiology, Diagnostic Radiology in Ketchikan, AK. National Provider Identifier 1801965736, active.
NPI record
| NPI | 1801965736 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 3100 Tongass Ave, Ketchikan, AK 99901 |
| Practice phone | 907-228-8300 |
| Mailing address | Po Box 1798, Bellingham, WA 98227 |
| Enumerated | November 7, 2006 |
| Last updated | August 31, 2011 |
| Authorized official | Patrick Branco, Ceo |
| Other names | Ketchikan Medical Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Midwife | 176B00000X | — (AK) |
| Anesthesiology | 207L00000X | — (AK) |
| Emergency Medicine | 207P00000X | — (AK) |
| Family Medicine | 207Q00000X | — (AK) |
| Internal Medicine | 207R00000X | — (AK) |
| Obstetrics & Gynecology | 207V00000X | — (AK) |
| Orthopaedic Surgery | 207X00000X | No Numbers Issued (AK) |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | No Numbers Issued (AK) |
| Pediatrics | 208000000X | No Numbers Issued (AK) |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | No Numbers Issued (AK) |
| Surgery | 208600000X | No Numbers Issued (AK) |
| Nurse Anesthetist, Certified Registered | 367500000X | — (AK) |
| Internal Medicine, Sleep Medicine | 207RS0012X | — (AK) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | No Numbers Issued (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.