Peninsula Community Health Services Of Alaska, Inc.

LBN: Peninsula Community Health Services Of Alaska, Inc.
Peninsula Community Health Services Of Alaska, Inc. is an health care organization with primary practice located at 230 E Marydale Ave , Soldotna AK 99669-7648. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Peninsula Community Health Services Of Alaska, Inc. can be contacted via phone (907) 260-7300, or through Wright, Benjamin J via phone (907) 260-7314.

Contact Information

Primary practice address
230 E Marydale Ave Soldotna AK 99669-7648
Phone: (907) 260-7300
Fax: (907) 260-7301
Website:
Map and Directions
Authorized official contact:
Name: Wright, Benjamin J
Phone: (907) 260-7314

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 706967 Alaska
Behavioral Health & Social Service Providers / Clinical 1041C0700X 706967 Alaska
Dental Providers / Dentist 122300000X 706967 Alaska
Other Service Providers / Specialist 174400000X 2093 Alaska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 706967 Alaska
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 703967 Alaska
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 706967 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 706967 Alaska
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 737 Alaska

Profile Details

NPI number 1700984614
LBN Legal business name Peninsula Community Health Services Of Alaska, Inc.
DBA Doing business as
Authorized official Wright, Benjamin J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Apr 25th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700984614 NPPES
Alaska Other HC5786 MEDICAID PROJECT CHOICE
Alaska Other K162666 MEDICAID PROJECT CHOICE

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