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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

INTEGRATED SUPPORT COMMAND KODIAK

Active Organization

Clinic/Center · KODIAK, AK

Registration Details

NPI Number
1720064884
Provider Type
Organization
NPI Issued
Dec 21, 2005 (20.334365968473 yrs)
Last Updated
Jul 28, 2008
Licenses
02D0666660 (AK)
NCPDP0202414 (AK)

Practice Information

Address
BUILDING N46 CAPE SARICHEF
KODIAK, AK, 996195002
Browse AK providers · Browse ZIP 99619
Phone
9074875757
Fax
9074875360
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Military Hospital
Additional Specialty
Clinic/Center
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.