Organization
KIC TRIBAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARSHA M RAMIREZ CNA (DIABETES COORDINATOR)
(907) 228-4900
Entity
Organization
Contact information
Practice address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4900
(907) 228-4905
Mailing address
2960 TONGASS AVE, KETCHIKAN, AK 99901-5742
(907) 228-4900
(907) 228-4905
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
10728
AK
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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