Peacehealth, NPI 1851336176
Skilled Nursing Facility in Ketchikan, AK, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1851336176
NPI Entity Type Organization
Provider Name Peacehealth
Doing Business As
Subpart of Organization Ketchikan General Hospital
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3100 Tongass Ave, Ketchikan, AK, US
Provider Mailing Address Po Box 1798, Bellingham, WA, US, 982271798
Is Sole Proprietor? No
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Organization Official

Official Name Patrick J. Branco
Official Position CEO
Phone 907-228-8300

Primary Taxonomy

Taxonomy Code

314000000X

Taxonomy Name Skilled Nursing Facility
Classification

Skilled Nursing Facility

Group

Nursing & Custodial Care Facilities

License No. NO NUMBER ASSIGNED
License State AK
Description (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Other Organization Name

Ketchikan Gen Hosp LTC
Doing Business As

Business Address

Peacehealth
3100 Tongass Ave

Ketchikan, AK, US

Phone: 907-228-8300
Fax: 907-228-8518

Mailing Address

Peacehealth
Po Box 1798
Bellingham, WA, US
ZIP 982271798
Phone: 907-228-8300
Fax: 907-228-8518

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NPI Name Taxonomy Address

1992450910

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DR. DO Brian Paul Fremaux

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1013499276

MS CCC SLP Christal Hays

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Morgan Dean Yaskus

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MS. Katelyn Tamara Holmberg

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DR. MD Amy Elizabeth Dressel

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Melissa Tasselli

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Johanna Clemens

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Pang Juan Lim

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Day Training/Habilitation Specialist

1550 E 74th Ave

Anchorage, AK

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Michelle Kuehn

Individual

Day Training/Habilitation Specialist

1550 E 74th Ave

Anchorage, AK

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