Rotary House of Ketchikan Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

222744 Issued in AK

Legal business name

ROTARY HOUSE OF KETCHIKAN INC

Doing business as

KETCHIKAN ROTARY HOUSE

Practice address

320 Bawden St
Ketchikan, AK 99901-6503

Phone

(907) 225-5131

NPI assigned

May 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrick J Branco

Title

Board Member

Phone

(907) 228-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KETCHIKAN ROTARY HOUSE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598978983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 TONGASS AVE",
            "address_2": "SUITE 212",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015900",
            "telephone_number": "907-225-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 BAWDEN ST",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999016503",
            "telephone_number": "907-225-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROTARY HOUSE OF KETCHIKAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANCO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "907-228-8300"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AK",
            "license": "222744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HM2227",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KETCHIKAN ROTARY HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheldon Rogers-Epler
• Micaella Ronquillo
• Eldred Mae Manaois Rosal
• John G Rosenfeld, MD
• Elisa Marie Rosier, M.D.
• Janis A Rottschafer, CRNA
• Carly Royer
• Adrian Rubin
• Russell Degroote MD PC
• Jeff L Ryan, MD

• Voluntary or Charitable Agency in Ketchikan, AK
• Providers in Ketchikan, AK by specialty
• Voluntary or Charitable Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.