Organization
KIC/THC BEHAVIORAL HEALTH DEPARTMENT
Active
Organization
KIC/THC BEHAVIORAL HEALTH DEPARTMENT
Active
Parent organization
KETCHIKAN INDIAN COMMUNITY
Other names
KIC Social Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETCHIKAN INDIAN COMMUNITY
Authorized official
MS. DEBBIE PATTON MPA (GENERAL MANAGER)
(907) 228-4926
Entity
Organization
Contact information
Practice address
2960 TONGASS AVE FL 1, KETCHIKAN, AK 99901-5742
(907) 228-4917
(907) 228-4920
Mailing address
2960 TONGASS AVE FL 1, KETCHIKAN, AK 99901-5742
(907) 228-4917
(907) 228-4920
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA2696
—
AK
Enumeration date
10/30/2008
Last updated
10/30/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up