Organization · Type 2 NPI
Peacehealth
Community Based Hospice Care Agency · Ketchikan, AK
NPI number
1386362580
Active
Practice location
212 Carlanna Lake Rd Ste 100
Ketchikan, AK 99901-5642
Fax (907) 247-8914
Mailing address
1115 SE 164th Ave Dept 328
Vancouver, WA 98683-8003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | None listed |
Community Based Hospice Care Agency: Definition to come...
Another provider at this address
About NPI 1386362580
Peacehealth's National Provider Identifier is 1386362580, issued on Aug 15, 2022. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Ketchikan, AK. The record was last updated on Apr 16, 2026.