Integrated Support Command Kodiak
NPI 1720064884ActiveOrganization· Clinic/Center· Kodiak, AK
Clinic/Center in Kodiak, Alaska, registered in NPPES in December 2005, part of US Coast Guard. The authorized official on file is Todd Lane Emerson, CLINIC ADMINISTRATOR, Clinic Administrator.
Overview
| NPI | 1720064884 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | US Coast Guard |
| NPI issued | Dec 21, 2005 |
| Last updated in NPPES | Jul 28, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | AK |
| Clinic/Center, Dental | 261QD0000X | — | AK |
| Military Clinical Medical Laboratory | 291900000X | 02D0666660 | AK |
| MilitaryU.S. Coast Guard Pharmacy | 332000000X | NCPDP0202414 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|