Integrated Support Command Kodiak
Integrated Support Command Kodiak is a healthcare organization registered as Clinic/Center in Kodiak, AK, holding Type 2 (organization) NPI 1720064884 since 2005. The authorized official on file is Todd Emerson, Clinic Administrator.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1720064884 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Integrated Support Command Kodiak |
| Other name | <Unavail> |
| Parent organization | Us Coast Guard |
| Practice address | BUILDING N46 CAPE SARICHEF, Kodiak, AK, 99619 |
| Phone | 9074875757 |
| Fax | 9074875360 |
| Enumeration date | 2005-12-21 |
| Last updated in NPPES | 2008-07-28 |
Authorized official
| Name | Todd Emerson |
|---|---|
| Title | Clinic Administrator |
| Phone | 9074875757 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Secondary | — | AK |
| 291900000X | Military Clinical Medical Laboratory | Secondary | 02D0666660 | AK |
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | NCPDP0202414 | AK |
| 261Q00000X | Clinic/Center | Primary | — | AK |
Copy-ready billing details
Provider: Integrated Support Command Kodiak NPI: 1720064884 Taxonomy: 261Q00000X (Clinic/Center) Address: BUILDING N46 CAPE SARICHEF, Kodiak, AK, 99619
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073590220 | Maricruz Duran Rodriquez | Individual | Other Technician | Kodiak, AK |
| 1790707339 | Jerritt Green | Individual | Other Technician | Kodiak, AK |
| 1013088921 | Andrew Shields | Individual | Other Technician | Kodiak, AZ |
| 1609947514 | Christopher Burnside | Individual | Other Technician | Kodiak, AK |
| 1366513277 | Jason Sessoms | Individual | Other Technician | Kodiak, AK |
Verify this record
Cross-check NPI 1720064884 against the authoritative CMS record: view Integrated Support Command Kodiak on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Where is Integrated Support Command Kodiak located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-07-28.