Girdwood Health Clinic, Inc. | |
131 Lindblad Avenue Girdwood AK 99587 | |
(907) 783-1355 | |
(907) 783-1357 |
Full Name | Girdwood Health Clinic, Inc. |
---|---|
Speciality | Clinic/Center |
Location | 131 Lindblad Avenue, Girdwood, Alaska |
Authorized Official Name and Position | Suzanne Niemi (CFO) |
Authorized Official Contact | 9077831355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Girdwood Health Clinic, Inc. Po Box 1130 Girdwood AK 99587-1130 Ph: (907) 783-1355 | Girdwood Health Clinic, Inc. 131 Lindblad Avenue Girdwood AK 99587 Ph: (907) 783-1355 |
NPI Number | 1851662233 |
---|---|
Provider Enumeration Date | 01/18/2012 |
Last Update Date | 12/20/2022 |
Medicare PECOS PAC ID | 4688836216 |
---|---|
Medicare Enrollment ID | O20120427000146 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851662233 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (Alaska) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Jennifer M Swift |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639485386 PECOS PAC ID: 2062607252 Enrollment ID: I20121128000546 |
Provider Name | Paul A Forward |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962639617 PECOS PAC ID: 7911150222 Enrollment ID: I20130118000207 |
Provider Name | Erin L Lester |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962723494 PECOS PAC ID: 8527211085 Enrollment ID: I20131119000516 |
Provider Name | John M Weaver |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386196111 PECOS PAC ID: 8123308004 Enrollment ID: I20161212000646 |
Provider Name | Shoshannah S Kinsler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760912828 PECOS PAC ID: 2567724560 Enrollment ID: I20180402000632 |