| Central Peninsula Neurology Clinic | |
|
262 N Binkley St Soldotna AK 99669 | |
| (907) 714-4090 | |
| (907) 714-4697 |
| Full Name | Central Peninsula Neurology Clinic |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 262 N Binkley St, Soldotna, Alaska |
| Authorized Official Name and Position | Richard Davis (CEO) |
| Authorized Official Contact | 9077144723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Peninsula Neurology Clinic 250 Hospital Pl Soldotna AK 99669-7559 Ph: (907) 714-4090 | Central Peninsula Neurology Clinic 262 N Binkley St Soldotna AK 99669 Ph: (907) 714-4090 |
| NPI Number | 1992033153 |
|---|---|
| Provider Enumeration Date | 11/30/2009 |
| Last Update Date | 12/07/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992033153 | NPI | - | NPPES |
| 0004 | Other | TRICARE | |
| 155 | Other | BLUE CROSS | |
| 1583121 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 937106 (Alaska) | Primary |
| 282NR1301X | General Acute Care Hospital - Rural | 937106 (Alaska) | Secondary |
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