| 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 |
| 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 | Carlos A. Valenzuela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851389589 PECOS PAC ID: 7810924628 Enrollment ID: I20140521000014 |
| Provider Name | Amanda Mcglasson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508319195 PECOS PAC ID: 8527354844 Enrollment ID: I20160912002120 |
| 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 | Robert Byron Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346684313 PECOS PAC ID: 5799903886 Enrollment ID: I20190702003139 |
| Provider Name | Yennhi Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366001513 PECOS PAC ID: 1456784271 Enrollment ID: I20191210001449 |
| 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 | 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 | Zachary Michael Huot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134788995 PECOS PAC ID: 7113324336 Enrollment ID: I20210930000584 |
| 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 | Brian Paul Fremaux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629538095 PECOS PAC ID: 4688040033 Enrollment ID: I20221026002028 |
| Provider Name | Anna Charlene Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255037404 PECOS PAC ID: 2860867702 Enrollment ID: I20230407000296 |
| 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 |
| Provider Name | Katsiaryna Malykhina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225667421 PECOS PAC ID: 2163889130 Enrollment ID: I20240319002373 |
| Provider Name | Rebecca Hitchcock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659066017 PECOS PAC ID: 5698114726 Enrollment ID: I20240422002168 |
| Provider Name | Jeffrey Daniel Brakhage |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578175253 PECOS PAC ID: 6507390671 Enrollment ID: I20241112002178 |
South Central Family Practice Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 161 N Binkley St, Suite 101, Soldotna, AK 99669 Phone: 907-260-7784 Fax: 907-260-7738 | |
Central Peninsula General Hospital, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 W Katmai Ave, Soldotna, AK 99669 Phone: 907-714-4726 | |
Ravencrest Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 35670 Kenai Spur Hwy Ste 102, Soldotna, AK 99669 Phone: 907-921-2221 | |
Upstream Family Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35743 Kenai Spur Hwy Ste A, Soldotna, AK 99669 Phone: 907-260-4468 Fax: 907-260-4467 | |
River Health & Wellness, Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35671 Kenai Spur Hwy, Soldotna, AK 99669 Phone: 907-260-1655 Fax: 855-854-8577 | |
Marcus C Deede Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 N Binkley St, Soldotna, AK 99669 Phone: 907-262-9341 Fax: 907-262-1545 | |
Charles G. Perkins Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 167 Warehouse Ave, Suite C, Soldotna, AK 99669 Phone: 907-262-6557 Fax: 907-262-6559 |