Active NPI
Peacehealth
Doing business as Ketchikan Gen Hosp LTC
- Skilled Nursing Facility
- Ketchikan, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- NO NUMBER ASSIGNED
- Legal business name
- PEACEHEALTH
- Doing business as
- Ketchikan Gen Hosp LTC
- Practice address
- 3100 Tongass Ave
Ketchikan, AK 99901-5746 - Phone
- (907) 228-8300
- Fax
- (907) 228-8518
- NPI assigned
- Jun 19, 2006
- Last updated
- Apr 16, 2026
- Organization subpart
- Yes
- Parent organization
- KETCHIKAN GENERAL HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NO NUMBER ASSIGNED | AK | Primary |
Addresses
Primary practice location
3100 Tongass Ave
Ketchikan, AK 99901-5746
Mailing address
PO Box 1798
Bellingham, WA 98227-1798
Phone (907) 228-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HS04LT | Medicaid | AK |
Other names 1
- Ketchikan Gen Hosp LTC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20021209000015 | AK | Part A Provider - Skilled Nursing Facility | 9436067618 | Practice locations: Ketchikan, AK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1851336176. Details of each certification follow.
Skilled nursing facility certification: CCN 025010
- Legal name
- PEACEHEALTH
- Doing business as
- KETCHIKAN MEDICAL CENTER - LTC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1968
- Last certification
- Feb 28, 2025
- Beds
- 29
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 15, 1976 in WA
- Enrollment address
- 3100 Tongass Ave
Ketchikan, AK 99901-5746 - Nursing home name
- KETCHIKAN MED CTR NEW HORIZONS TRANSITIONAL CARE
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Ketchikan Medical Center
- Critical Access Hospital
- Ketchikan, AK
- NPI 1396705539
9436067618
-
dba Ketchikan Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Ketchikan, AK
- NPI 1528544822
9436067618
-
dba Ketchikan Medical Center Home Health
- Home Health Agency
- Ketchikan, AK
- NPI 1760427082
9436067618
-
dba Ketchikan Medical Center
- Diagnostic Radiology Physician
- Ketchikan, AK
- NPI 1801965736
9436067618
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ketchikan Med Ctr New Horizons Transitional Care
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Jul 1, 1968
- Medicare certification status
- Active
- Certified beds
- 29
National Provider Directory
National Provider Directory- Tax ID family
- Ketchikan General Hsptl
- Part of
- Ketchikan General Hsptl
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgery Physician
- Ketchikan, AK
- NPI 1235556846
-
- Rural Health Clinic/Center
- Craig, AK
- NPI 1528506961
-
dba Ketchikan Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Ketchikan, AK
- NPI 1528544822
-
dba Ketchikan Medical Center Home Health
- Home Health Agency
- Ketchikan, AK
- NPI 1760427082
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba PeaceHealth Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
Member Of
Ownership & related parties
All disclosed owners & managing parties 22
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Charlotte Virgia Davenport | Corporate Director | Jul 1, 2016 | |
| Ione S Adams | Corporate Director | Jul 1, 2024 | |
| Leonard W Kearney | Corporate Director | Jan 1, 2011 | |
| Thomas Karnes | Corporate Officer | Jan 27, 2023 | |
| Lorraine Arvin | Corporate Director | Jul 1, 2024 | |
| Danny W Hollingshead | Corporate Director | Jun 1, 2017 | |
| Sandra M Demars | Operational/Managerial Control | Jun 22, 2021 | |
| Adp of the SNF | Jun 22, 2021 | ||
| Richard Harry Wollenberg | Corporate Director | Jan 21, 2014 | |
| Timothy Ackman | Corporate Director | Jul 1, 2017 | |
| Carolyn Aaron | Corporate Director | Jan 1, 2021 | |
| Arthur Craig Springer II | Corporate Officer | Nov 3, 2025 | |
| Peacehealth | 5% Or Greater Direct Ownership Interest | Nov 25, 1986 | |
| Operational/Managerial Control | Nov 25, 1986 | ||
| Adp of the SNF | Nov 25, 1986 | ||
| Linda Lea Jackson | Corporate Director | Jul 15, 2023 | |
| Richard E Magnuson | Corporate Officer | Jun 16, 2025 | |
| Deleesa Meashintubby | Corporate Director | Jun 30, 2023 | |
| Mary McWilliams | Corporate Director | Sep 24, 2021 | |
| Kathleen Lee Pruitt | Corporate Director | Jul 1, 2015 | |
| Sarah Marie Ness | Corporate Officer | Jan 3, 2026 | |
| Adp of the SNF | Jan 3, 2026 | ||
| Andrea C Nenzel | Corporate Director | Jul 1, 2015 | |
| Gerald D Hodges | Operational/Managerial Control | Oct 6, 2025 | |
| Adp of the SNF | Oct 6, 2025 | ||
| Peacehealth | 5% Or Greater Direct Ownership Interest | Jun 15, 1976 | 100% |
| Operational/Managerial Control | Jun 15, 1976 | 100% | |
| Donna King | Corporate Director | Jul 1, 2019 |
Owners & managing parties with NPI records 8
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba PeaceHealth Hospice
- Community Based Hospice Care Agency
- Ketchikan, AK
- NPI 1386362580
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
dba Ketchikan Medical Center
- Critical Access Hospital
- Ketchikan, AK
- NPI 1396705539
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Ketchikan Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Ketchikan, AK
- NPI 1528544822
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Ketchikan Medical Center Home Health
- Home Health Agency
- Ketchikan, AK
- NPI 1760427082
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
dba Ketchikan Medical Center
- Diagnostic Radiology Physician
- Ketchikan, AK
- NPI 1801965736
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1811212749
Adp of the SNF, Operational/Managerial Control
-
dba PeaceHealth Home Health of Whatcom County
- Home Health Agency
- Bellingham, WA
- NPI 1710639901
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1982326815
5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Ketchikan Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 9, 2007 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Ketchikan Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Ketchikan, AK
- NPI 1528544822
5% Or Greater Direct Ownership Interest
Facilities with the same owner 24
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba PeaceHealth Hospice
- Community Based Hospice Care Agency
- Ketchikan, AK
- NPI 1386362580
Peacehealth
-
dba Ketchikan Medical Center
- Critical Access Hospital
- Ketchikan, AK
- NPI 1396705539
Peacehealth
-
dba Ketchikan Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Ketchikan, AK
- NPI 1528544822
Peacehealth
-
dba Ketchikan Medical Center Home Health
- Home Health Agency
- Ketchikan, AK
- NPI 1760427082
Peacehealth
-
dba St. John Medical Center
- General Acute Care Hospital
- Longview, WA
- NPI 1073510277
Peacehealth
-
dba Sacred Heart Hospice
- Community Based Hospice Care Agency
- Springfield, OR
- NPI 1073594065
Peacehealth
-
dba Sacred Heart-RiverBend
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
Peacehealth
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
Peacehealth
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
Peacehealth
-
dba Sacred Heart Home Health
- Home Health Agency
- Springfield, OR
- NPI 1275524498
Peacehealth
-
dba Peacehealth Southwest Home Health
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
Peacehealth
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Santa Barbara, CA
- NPI 1144583428
-
- Medical Oncology Physician
- Palo Alto, CA
- NPI 1609987874
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1811212749
-
- Obstetrics & Gynecology Physician
- Santa Barbara, CA
- NPI 1750342234
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1215950639
Affiliated clinicians 1
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": "1851336176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1798",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982271798",
"telephone_number": "907-228-8300",
"fax_number": "907-228-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 TONGASS AVE",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999015746",
"telephone_number": "907-228-8300",
"fax_number": "907-228-8518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACEHEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KETCHIKAN GENERAL HOSPITAL",
"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": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AK",
"license": "NO NUMBER ASSIGNED",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HS04LT",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ketchikan Gen Hosp LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.