NPIMap

Organization Active NPI

Peacehealth

  • Home Health Agency
  • Ketchikan, AK
National Provider Identifier
1760427082
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NO NUMBER ASSIGNED Issued in AK
Legal business name
PEACEHEALTH
Practice address
212 Carlanna Lake Rd Ste 100
Ketchikan, AK 99901-5642
Phone
(907) 225-8914
NPI assigned
Jun 19, 2006
Organization subpart
Yes
Parent organization
KETCHIKAN MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Arthur Craig Springer II
Title
Sys VP Fin Integrity/Controller
Phone
(360) 729-1132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NO NUMBER ASSIGNED AK Primary

Addresses

Primary practice location

212 Carlanna Lake Rd Ste 100
Ketchikan, AK 99901-5642

Mailing address

1115 SE 164TH Ave Dept 328
Vancouver, WA 98683-8003
Phone (360) 729-1462

Other identifiers 1

IdentifierTypeStateIssuer
HH5794MedicaidAK

Other names 1

  • Ketchikan Medical Center Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012000915 AK Part A Provider - Home Health Agency 9436067618 Practice locations: Ketchikan, AK

Home health agency certification: CCN 027014

Legal name
PEACEHEALTH
Doing business as
PEACEHEALTH KETCHIKAN MEDICAL CENTER HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 4, 1993
Last certification
May 13, 2019
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Jun 15, 1976 in AK
Enrollment address
212 Carlanna Lake Rd
Ste 100
Ketchikan, AK 99901-5642
HHA Branch

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Peacehealth Ketchikan Medical Center Home HealthCCN 027014
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Mar 4, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Thomas Kaufman5 organizations share this tax ID, including this one
Part of
Thomas Kaufman

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

126 Washington St
Ketchikan, AK 99901
Phone (907) 225-3510

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kevin G Murphy Individual Corporate OfficerBoard Member Jul 1, 2016
Corporate DirectorBoard Member Jul 1, 2016
Charlotte Virgia Davenport Individual Corporate DirectorBoard Member Jul 1, 2016
Ione S Adams Individual Corporate DirectorBoard of Director Member Jul 1, 2024
Leonard W Kearney Individual Corporate DirectorBoard Member Jan 1, 2011
Thomas Karnes Individual Corporate OfficerSr. Vice President, General Counsel Jan 27, 2023
Lorraine Arvin Individual Corporate DirectorBoard of Director Member Jul 1, 2024
Danny W Hollingshead Individual Corporate DirectorBoard Member Jun 1, 2017
Richard Harry Wollenberg Individual Corporate DirectorBoard Member Jan 21, 2014
Timothy Ackman Individual Corporate DirectorBoard Member Jul 1, 2017
Carolyn Aaron Individual Corporate DirectorBoard of Director Jan 1, 2021
Arthur Craig Springer II Individual Corporate OfficerSys VP Fin Integrity/Controller Nov 3, 2025
Peacehealth Organization, Vancouver, WA Non-profit 5% Or Greater Direct Ownership Interest Jun 15, 1976 100%
Operational/Managerial Control Jun 15, 1976 100%
Linda Lea Jackson Individual W-2 Managing EmployeeSystem Director Jul 15, 2023
Richard E Magnuson Individual Corporate OfficerEvp, Chief Financial Officer Jun 16, 2025
Deleesa Meashintubby Individual Corporate DirectorBoard of Director Jun 30, 2023
Mary McWilliams Individual Corporate DirectorBoard of Director Sep 24, 2021
Kathleen Lee Pruitt Individual Corporate DirectorBoard Member Jul 1, 2015
Sarah Marie Ness Individual Corporate OfficerPresident Jan 3, 2026
Andrea C Nenzel Individual Corporate DirectorBoard Member Jul 1, 2015
Donna King Individual Corporate DirectorBoard of Director Jul 1, 2019

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Peacehealth
    • Community Based Hospice Care Agency
    • Ketchikan, AK
    • NPI 1386362580

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Peacehealth
    • Home Health Agency
    • Bellingham, WA
    • NPI 1710639901

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Peacehealth
    • Hospice and Palliative Medicine (Internal Medicine) Physician
    • Vancouver, WA
    • NPI 1982326815

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ketchikan Medical CenterKetchikan, AK, CCN 02Z311 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 9, 2007
Ketchikan Medical Center - LTCKetchikan, AK, CCN 025010 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 15, 1976
Jun 15, 1976

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Peacehealth
    • Medicare Defined Swing Bed Hospital Unit
    • Ketchikan, AK
    • NPI 1528544822

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Peacehealth
    • Skilled Nursing Facility
    • Ketchikan, AK
    • NPI 1851336176

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 23

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 23

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 71

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1760427082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 328",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838003",
            "telephone_number": "360-729-1462",
            "fax_number": "360-729-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARLANNA LAKE RD STE 100",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015642",
            "telephone_number": "907-225-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KETCHIKAN MEDICAL CENTER",
        "enumeration_date": "2006-06-19",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "SYS VP FIN INTEGRITY/CONTROLLER",
        "authorized_official_telephone_number": "360-729-1132",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AK",
            "license": "NO NUMBER ASSIGNED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HH5794",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ketchikan Medical Center Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ketchikan Medical Center Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ketchikan, AK

Sources for this page

Verify at the official NPI Registry.