| North Pacific Medical Center | |
|
104 Center Ave Ste 100 Kodiak AK 99615 | |
| (907) 486-4183 | |
| (907) 486-4233 |
| Full Name | North Pacific Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Center Ave, Kodiak, Alaska |
| Authorized Official Name and Position | Loren Dean Halter (PRESIDENT) |
| Authorized Official Contact | 9074864183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Pacific Medical Center 104 Center Ave Ste 100 Kodiak AK 99615 Ph: (907) 486-4183 | North Pacific Medical Center 104 Center Ave Ste 100 Kodiak AK 99615 Ph: (907) 486-4183 |
| NPI Number | 1225106263 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 10/04/2023 |
| Medicare PECOS PAC ID | 6608768858 |
|---|---|
| Medicare Enrollment ID | O20040325000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225106263 | NPI | - | NPPES |
| GR0124 | Medicaid | AK | |
| MD1326 | Medicaid | AK | |
| MD1532 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kevin Creelman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538205307 PECOS PAC ID: 7214962125 Enrollment ID: I20050929000341 |
| Provider Name | Dorianne Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992080139 PECOS PAC ID: 3476720921 Enrollment ID: I20120124000438 |
Kodiak Area Native Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 Fax: 907-486-9897 | |
Kodiak Area Native Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9868 Fax: 907-486-9884 | |
Arctic Chiropractic And Physical Medicine Kodiak Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2975 Mill Bay Rd Ste A, Kodiak, AK 99615 Phone: 907-512-0809 Fax: 907-512-0828 | |
Kodiak Island Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-6065 Fax: 907-486-2248 | |
Kodiak Area Native Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 Fax: 907-486-9898 | |
Kodiak Island Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-6065 Fax: 907-486-2248 |