Integrated Support Command Kodiak
May also be knows as Rockmore-king Clinic
Clinic/Center in Kodiak, AK(View on Map)
Legal Business Name
Integrated Support Command Kodiak
Also Known As
Rockmore-king Clinic
NPI Number
1720064884
NPI Type
Organization
Enumeration Date
12/21/2005
Specialties
(Taxonomies)Name
Code
261Q00000X
261QD0000X
291900000X
332000000X
Primary Taxonomy
Yes
No
No
No
Licenses
State
Alaska
Alaska
License Number
02D0666660
NCPDP0202414
Contact
Information
Purpose
Mailing
Location
Address
BUILDING N 46 CAPE SARLCHEF
BUILDING N46 CAPE SARICHEF
City
Kodiak
Kodiak
State
AK
AK
Postal Code
99619-5002
99619-5002
Country
US
US
Telephone Number
(907) 487-5757
(907) 487-5757
Authorized Official
Name
Todd Emerson
Title or Position
CLINIC ADMINISTRATOR
Telephone Number
(907) 487-5757
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/28/2008