OrganizationActive
Kodiak Island Ambulatory Care Clinic Inc.
NPI 1366596504 · Urgent Care Clinic/Center · Kodiak, AK
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
Practice location
202 Center Ave
Ste. 102
Kodiak, AK 99615-1126
Phone: (907) 486-6188
Fax: (907) 486-6146
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1126
Kodiak, AK 99615-1126
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 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.