Peninsula Community Health Services of Alaska, Inc.
Organization Active NPI Community/Behavioral Health Agency · Soldotna, AK
NPI 1124110796 · NPPES record last updated Apr 25, 2023
Key facts
- NPI
- 1124110796
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
- Practice address
- 230 E Marydale Ave
Soldotna, AK 99669-7648 - Phone
- (907) 262-3119
- Fax
- (907) 262-9290
- NPI assigned
- Sep 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Benjamin J Wright
- Title
- Ceo
- Phone
- (907) 260-7314
Practitioners 45
-
Cara Bauer, LPC
-
Joseph J. Cannava, MS,LPCS, CDCS
-
Peter Paul Cannava, PH.D.
-
Matthew Meador Dammeyer, PH.D.
-
Maia S Danielson, MD
-
Samantha L Garner, APNP
-
Fridrik Rafn Gudmundsson, L.C.S.W.
-
Pamela Ann Hays, PH.D.
-
Susan J Holit, FNP
-
Bruce David Johnson, LCSW
-
Kylie B Jones, FNP
-
Abigail Jorgensen, DNP, FNP-BC
-
Daniela L. Kopec, LPC
-
Heidi Ann Koslo, DNP, APRN, FNP-BC
-
Tara D Lathrop, M.D.
-
Michelle Lesagonicz, LCSW
-
Jeffrey S Magee, MD
-
Jeffrey Steven Parker, LCSW
-
Stacey Pault, PA-C
-
Bryan Lee Pherson, PA-C
-
Barbara Ransom, A.N.P.
-
Jed Rigby, LCSW
National Provider Directory
Locations
245 N Binkley St
Ste 202
Soldotna, AK 99669
Phone (907) 260-3353
230 E Marydale Ave
Soldotna, AK 99669
Phone (907) 262-3119
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AEIFAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
230 E Marydale Ave
Soldotna, AK 99669-7648
Mailing address
PO Box 2949
Soldotna, AK 99669-2949
Phone (907) 260-7303
Other names
- Behavioral Health Under 1115 Waiver
Other providers in Soldotna, AK
- Michelle L Pearce
- Brandi Lee Peck
- Sarah Peck
- Jennifer A Pelka
- Peninsula Allergy & Asthma Center LLC
- Peninsula Community Health Services of Alaska, Inc.
- Peninsula Dental Center
- Peninsula Dental Center
- Peninsula Dental Center
- Peninsula Eye Clinic, Apc
All providers in Soldotna, AK · Community/Behavioral Health Agency in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.