NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Kodiak Island Ambulatory Care Clinic Inc.

Urgent Care Clinic/Center in Kodiak, AK · enumerated 2007 · authorized official John Koller, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366596504

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Kodiak Island Ambulatory Care Clinic Inc.
Practice address 202 Center Ave, Ste. 102, Kodiak, AK, 99615
Fax (907) 486-6146
Enumeration date Jan 23, 2007
Last updated in NPPES May 16, 2011

Taxonomy & classification

261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities · License DL282350 (AK) Primary

Authorized official

Name John Koller
Title President

Other identifiers

Identifier Type State Issuer
02D0985615 Other AK CLIA NUMBER
DL282350 Other AK BUSINESS LICENSE NUMBER
6270850001 Other - MEDICARE DME
K162500 Other - MEDICARE PTAN
MD10072 Medicaid AK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kodiak Island Ambulatory Care Clinic Inc.?
The NPI for Kodiak Island Ambulatory Care Clinic Inc. is 1366596504, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kodiak Island Ambulatory Care Clinic Inc.?
NPPES lists John Koller (President) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-16.