Organization
KODIAK ISLAND HEALTH CARE FOUNDATION
Active
Other names
Kodiak Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL AUSTERMAN (EXECUTIVE DIRECTOR)
(907) 481-5002
Entity
Organization
Contact information
Practice address
1911 E REZANOF DR., KODIAK, AK 99615
(907) 481-5000
(907) 481-5030
Mailing address
1911 E REZANOF DR., KODIAK, AK 99615
(907) 481-5000
(907) 481-5030
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
297211
AK
261QF0400X
Federally Qualified Health Center (FQHC)
297211
AK
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RH462FQ
—
AK
Enumeration date
07/14/2005
Last updated
06/24/2022
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