Kodiak Island Health Care Foundation

NPI #1326047044 in Kodiak, Alaska

Provider Information

NPI Number: 1326047044
Entity Type: Organization
Organization Name: Kodiak Island Health Care Foundation
Primary Specialty: Legal Medicine
Enumeration Date: Jul 14, 2005
Last Updated: Jun 24, 2022

Practice Location

Address: 1911 E REZANOF DR.
City: Kodiak
State: Alaska
ZIP Code: 99615
Phone: (907) 481-5000

Authorized Official

Name: CAROL AUSTERMAN
Title: EXECUTIVE DIRECTOR
Phone: (907) 481-5002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X

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