OrganizationActive
Hswl Fo Kodiak Det Ketchikan
NPI 1285948877 · Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center · Ketchikan, AK
Provider details
- NPI number
- 1285948877
- Entity type
- Organization
- Primary specialty
- Military and U.S. Coast Guard Ambulatory Procedure Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- U.S. Coast Guard
- Authorized official
- Robert Bidwell, Clinic Administrator
Practice location
1300 Stedman St
Ketchikan, AK 99901-6661
Phone: (907) 228-0320
Fax: (907) 228-0255
Mailing address
1300 Stedman St
Ketchikan, AK 99901-6661
Registry dates
- Enumerated
- 2010-08-06
- Last updated
- 2010-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.