Organization
PEACEHEALTH
Active
Other names
KETCHIKAN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK J BRANCO (CEO)
(907) 228-8300
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
176B00000X
Midwife
—
AK
207L00000X
Anesthesiology Physician
—
AK
207P00000X
Emergency Medicine Physician
—
AK
207Q00000X
Family Medicine Physician
—
AK
207R00000X
Internal Medicine Physician
—
AK
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
AK
207V00000X
Obstetrics & Gynecology Physician
—
AK
207X00000X
Orthopaedic Surgery Physician
NO NUMBERS ISSUED
AK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
NO NUMBERS ISSUED
AK
208000000X
Pediatrics Physician
NO NUMBERS ISSUED
AK
2084P0800X
Psychiatry Physician
NO NUMBERS ISSUED
AK
2085R0202X
Diagnostic Radiology Physician
Primary
NO NUMBERS ISSUED
AK
208600000X
Surgery Physician
NO NUMBERS ISSUED
AK
367500000X
Certified Registered Nurse Anesthetist
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6110165
AETNA HOSPITAL PRO#
AK
01
—
7695464
AETNA CLINIC PRO#
AK
05
—
MDG235
—
AK
Enumeration date
11/07/2006
Last updated
08/31/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us