Organization

Peacehealth

May also be knows as Ketchikan Medical Center

Legal Business Name

Peacehealth

Also Known As

Ketchikan Medical Center

NPI Number

1801965736

NPI Type

Organization

Enumeration Date

11/07/2006

Licenses

State

Alaska

License Number

NO NUMBERS ISSUED

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1798
3100 TONGASS AVE

City

Bellingham
Ketchikan

State

WA
AK

Postal Code

98227-1798
99901-5746

Country

US
US

Telephone Number

(360) 734-5400
(907) 228-8300

Authorized Official

Name

Patrick Branco

Title or Position

CEO

Telephone Number

(907) 228-8300

Identifiers

Identifier

6110165
7695464
MDG235

Identifier State

AK
AK
AK

Identifier Issuer

AETNA HOSPITAL PRO#
AETNA CLINIC PRO#
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/31/2011

Provider Address