NPIMap

Organization Active NPI

Peninsula Community Health Services of Alaska, Inc.

  • Community/Behavioral Health Agency
  • Soldotna, AK
National Provider Identifier
1124110796
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 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
Last updated
Apr 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Benjamin J Wright
Title
Ceo
Phone
(907) 260-7314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

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 1

  • Behavioral Health Under 1115 Waiver Other name

National Provider Directory

National Provider Directory

Locations

506 Lake St
Kenai, AK 99611
Phone (907) 714-4025

245 N Binkley St
Ste 202
Soldotna, AK 99669
Phone (907) 260-3353

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEIFAA

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1124110796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2949",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996692949",
            "telephone_number": "907-260-7303",
            "fax_number": "907-260-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697648",
            "telephone_number": "907-262-3119",
            "fax_number": "907-262-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-260-7314"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavioral Health Under 1115 Waiver",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.