Organization
PEACEHEALTH
Active
Other names
Ketchikan Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ARTHUR CRAIG SPRINGER II (SYS VP FIN INTEGRITY/CONTROLLER)
(360) 729-1132
Entity
Organization
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-8300
(907) 228-8518
Mailing address
PO BOX 1798, BELLINGHAM, WA 98227-1798
(360) 734-5400
(360) 715-6552
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
NO NUMBER ASSIGNED
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025
TRICARE GROUP NUMBER
AK
01
—
6110165
AETNA FACILITY ID
AK
05
—
HS04IP
—
AK
05
—
HS04OP
—
AK
Enumeration date
03/23/2006
Last updated
04/16/2026
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