| Peninsula Community Health Services Of Alaska, Inc. | |
|
230 E Marydale Ave Soldotna AK 99669-7648 | |
| (907) 260-7300 | |
| (907) 260-7301 |
| Full Name | Peninsula Community Health Services Of Alaska, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 230 E Marydale Ave, Soldotna, Alaska |
| Authorized Official Name and Position | Benjamin J Wright (CEO) |
| Authorized Official Contact | 9072607314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Community Health Services Of Alaska, Inc. Po Box 2949 Soldotna AK 99669-2949 Ph: (907) 260-7300 | Peninsula Community Health Services Of Alaska, Inc. 230 E Marydale Ave Soldotna AK 99669-7648 Ph: (907) 260-7300 |
| NPI Number | 1700984614 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Medicare PECOS PAC ID | 8426043894 |
|---|---|
| Medicare Enrollment ID | O20040415000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700984614 | NPI | - | NPPES |
| HC5786 | Other | AK | MEDICAID PROJECT CHOICE |
| K162666 | Other | AK | MEDICARE PTAN |
| Provider Name | Peter P Cannava |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508997867 PECOS PAC ID: 5193780088 Enrollment ID: I20041119000510 |
| Provider Name | Marguerite A Mcintosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598757312 PECOS PAC ID: 4688767338 Enrollment ID: I20070911000604 |
| Provider Name | Bradley T Cross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326099862 PECOS PAC ID: 6800040841 Enrollment ID: I20130129000313 |
| Provider Name | Carlos A. Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851389589 PECOS PAC ID: 7810924628 Enrollment ID: I20140521000014 |
| Provider Name | Jed M Rigby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356695365 PECOS PAC ID: 7315222155 Enrollment ID: I20170317001992 |
| Provider Name | Chad Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649810433 PECOS PAC ID: 6002243243 Enrollment ID: I20200227001385 |
| Provider Name | Stuart E Marcotte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548607211 PECOS PAC ID: 7214223197 Enrollment ID: I20200603001203 |
| Provider Name | Abigail Jorgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700403235 PECOS PAC ID: 4385060599 Enrollment ID: I20200819000865 |
| Provider Name | Samantha Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841705860 PECOS PAC ID: 0547529067 Enrollment ID: I20201002002105 |
| Provider Name | Shane Russell Rall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538693049 PECOS PAC ID: 5395140933 Enrollment ID: I20210820000418 |
| Provider Name | Kylie B Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679244685 PECOS PAC ID: 5294124368 Enrollment ID: I20211110002450 |
| Provider Name | David Albritton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376187799 PECOS PAC ID: 2769816271 Enrollment ID: I20211130002931 |
| Provider Name | April Velvet Walgenbach |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598427015 PECOS PAC ID: 8628469681 Enrollment ID: I20211229002083 |
| Provider Name | Lindsay Haygood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053863266 PECOS PAC ID: 2567845654 Enrollment ID: I20220823002120 |
| Provider Name | Brian Paul Fremaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629538095 PECOS PAC ID: 4688040033 Enrollment ID: I20221026002028 |
| Provider Name | Sarah Schoner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467050674 PECOS PAC ID: 4082024799 Enrollment ID: I20230503002631 |
| Provider Name | Karen Muncy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467680272 PECOS PAC ID: 0042449043 Enrollment ID: I20230710000409 |
| Provider Name | Michaelene Kay Brownfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700925666 PECOS PAC ID: 0042660102 Enrollment ID: I20240102002345 |
| Provider Name | Kristina Goolsby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144798430 PECOS PAC ID: 8224488317 Enrollment ID: I20240102003120 |
| Provider Name | Heather Wien |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558775957 PECOS PAC ID: 1557712684 Enrollment ID: I20240112001714 |
Foundations Family Resource Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35251 Kenai Spur Hwy Ste C, Soldotna, AK 99669 Phone: 907-252-9082 | |
Central Peninsula Care Transitions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Tyee St, Soldotna, AK 99669 Phone: 907-714-5870 | |
Alaska Counseling And Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 Smith Way Ste 205, Soldotna, AK 99669 Phone: 907-420-0614 | |
Transformation Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44539 Sterling Hwy Ste 209, Soldotna, AK 99669 Phone: 541-801-3730 | |
Behavioral Health Under 1115 Waiver Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 E Marydale Ave, Soldotna, AK 99669 Phone: 907-262-3119 Fax: 907-262-9290 | |
Northern Psychology Resources Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 47294 Progress Ct Ste C, Soldotna, AK 99669 Phone: 907-262-4470 Fax: 907-262-4469 | |
New Hope Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 35109 Royal Pl, Soldotna, AK 99669 Phone: 907-260-7423 Fax: 907-260-6722 |