Kodiak Island Ambulatory Care Clinic Inc.
NPI 1366596504 · Urgent Care Clinic/Center · Kodiak, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kodiak Island Ambulatory Care Clinic Inc. is a Urgent Care Clinic/Center organization in Kodiak, AK (NPI 1366596504).
Provider details
- NPI number
- 1366596504
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Koller, President(907) 486-6188
- License
- DL282350 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2011-05-16
Frequently asked questions
- What is Kodiak Island Ambulatory Care Clinic Inc.'s NPI number?
- Kodiak Island Ambulatory Care Clinic Inc.'s National Provider Identifier (NPI) is 1366596504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kodiak Island Ambulatory Care Clinic Inc.?
- Kodiak Island Ambulatory Care Clinic Inc. is classified in the NPPES registry as Urgent Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kodiak Island Ambulatory Care Clinic Inc. located?
- Kodiak Island Ambulatory Care Clinic Inc.'s practice location on file with NPPES is 202 Center Ave, Kodiak, AK 99615-1126.
- What is Kodiak Island Ambulatory Care Clinic Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Kodiak Island Ambulatory Care Clinic Inc. is (907) 486-6188.
- Does Kodiak Island Ambulatory Care Clinic Inc. accept Medicare?
- Kodiak Island Ambulatory Care Clinic Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kodiak Island Ambulatory Care Clinic Inc.?
- The authorized official listed on Kodiak Island Ambulatory Care Clinic Inc.'s NPPES record is John Koller, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kodiak Island Ambulatory Care Clinic Inc.'s NPI active?
- Yes — Kodiak Island Ambulatory Care Clinic Inc.'s NPI (1366596504) is active in the NPPES registry as of the last update on 2011-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.