NPIMap

Organization Active NPI

Integrated Support Command Kodiak

Doing business as Rockmore-King Clinic

  • Clinic/Center
  • Kodiak, AK
National Provider Identifier
1720064884
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
INTEGRATED SUPPORT COMMAND KODIAK
Doing business as
Rockmore-King Clinic
Practice address
Building N46 Cape Sarichef
Kodiak, AK 99619-5002
Phone
(907) 487-5757
Fax
(907) 487-5360
NPI assigned
Dec 21, 2005
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
US COAST GUARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Todd Lane Emerson, CLINIC ADMINISTRATOR
Title
Clinic Administrator
Phone
(907) 487-5757

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AK Primary
Dental Clinic/Center 261QD0000X AK
Military Clinical Medical Laboratory 291900000X 02D0666660 AK
Military/U.S. Coast Guard Pharmacy 332000000X NCPDP0202414 AK

Addresses

Primary practice location

Building N46 Cape Sarichef
Kodiak, AK 99619-5002

Mailing address

Building N 46 Cape Sarlchef
Kodiak, AK 99619-5002
Phone (907) 487-5757

Other names 1

  • Rockmore-King Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Uscg Isc New Orleans65 organizations share this tax ID, including this one
Part of
Uscg Isc New Orleans

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1720064884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING N 46 CAPE SARLCHEF",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996195002",
            "telephone_number": "907-487-5757",
            "fax_number": "907-487-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING N46 CAPE SARICHEF",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996195002",
            "telephone_number": "907-487-5757",
            "fax_number": "907-487-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED SUPPORT COMMAND KODIAK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "US COAST GUARD",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "907-487-5757",
        "authorized_official_credential": "CLINIC ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AK",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": null,
            "primary": false
        },
        {
            "code": "291900000X",
            "taxonomy_group": "",
            "desc": "Military Clinical Medical Laboratory",
            "state": "AK",
            "license": "02D0666660",
            "primary": false
        },
        {
            "code": "332000000X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Pharmacy",
            "state": "AK",
            "license": "NCPDP0202414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockmore-King Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kodiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.