| City Of Ketchikan-gateway Center For Human Services | |
|
3050 5th Ave Ketchikan AK 99901-5773 | |
| (907) 225-4135 | |
| (907) 247-4135 |
| Full Name | City Of Ketchikan-gateway Center For Human Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3050 5th Ave, Ketchikan, Alaska |
| Authorized Official Name and Position | Karl Amylon (CITY MANAGER) |
| Authorized Official Contact | 9072253111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Ketchikan-gateway Center For Human Services 3050 5th Ave Ketchikan AK 99901-5773 Ph: (907) 225-4135 | City Of Ketchikan-gateway Center For Human Services 3050 5th Ave Ketchikan AK 99901-5773 Ph: (907) 225-4135 |
| NPI Number | 1467445296 |
|---|---|
| Provider Enumeration Date | 08/26/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467445296 | NPI | - | NPPES |
| DA7113 | Medicaid | AK | |
| DA4438 | Medicaid | AK | |
| MH0133 | Medicaid | AK |
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