Peninsula Community Health Services of Alaska, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

920499 Issued in AK

Legal business name

PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.

Practice address

805 Frontage Rd
Kenai, AK 99611-9104

Phone

(907) 283-3600

Fax

(907) 283-3601

NPI assigned

Aug 5, 2016

Last updated

Mar 13, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.As reported in NPPES

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

Addresses

Other names 1

• Kenai Other name

Medicare fee-for-service enrollment

Enrolled in AK2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659825776. Details of each certification follow.

• CCN 021849 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 021849

Legal name

PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 19, 2016

Last certification

Oct 19, 2016

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 24, 2001 in AK

Enrollment address

805 Frontage Rd
Kenai, AK 99611-9104

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Peninsula Community Health Services of Alaska, Inc.

  • Federally Qualified Health Center (FQHC)
  • Soldotna, AK
  • NPI 1700984614

  8426043894

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Peninsula Community Health Services of Alaska, Inc.

  • Federally Qualified Health Center (FQHC)
  • Soldotna, AK
  • NPI 1700984614

  O20040415000965

  Same enrollment

Part of

Peninsula Community Health

Locations

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Kathryn A Flores, FNP

  • Family Nurse Practitioner
  • Soldotna, AK
  • NPI 1104997360

  Corporate Director

  CMS ownership
• Peninsula Community Health Services of Alaska, Inc.

  • Federally Qualified Health Center (FQHC)
  • Soldotna, AK
  • NPI 1700984614

  Operational/Managerial Control

  CMS ownership

Practitioners 47

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.

• David Carroll Albritton, FNP-C

  • Family Nurse Practitioner
  • Soldotna, AK
  • NPI 1376187799
  NPD
• Chad Andrews, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Soldotna, AK
  • NPI 1649810433
  NPD
• Peter Paul Cannava, PH.D.

  • Psychologist
  • Soldotna, AK
  • NPI 1508997867
  NPD
• Anna Charlene Cowan, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Soldotna, AK
  • NPI 1255037404
  NPD
• Christine Marie Fanelli, APRN

  • Family Nurse Practitioner
  • Soldotna, AK
  • NPI 1639654304
  NPD
• Brian Paul Fremaux, DO

  • Family Medicine Physician
  • Soldotna, AK
  • NPI 1629538095
  NPD
• Kristina Goolsby, LPC

  • Professional Counselor
  • Soldotna, AK
  • NPI 1144798430
  NPD
• Rebecca Hitchcock, DPT

  • Physical Therapist
  • Kenai, AK
  • NPI 1659066017
  NPD
• Lindsey Hoover, LPC

  • Professional Counselor
  • Soldotna, AK
  • NPI 1871001826
  NPD
• Sarah Huot, OTR/L

  • Occupational Therapist
  • Kenai, AK
  • NPI 1093356412
  NPD
• Zachary Michael Huot, DPT

  • Physical Therapist
  • Soldotna, AK
  • NPI 1134788995
  NPD
• Kylie B Jones, FNP

  • Family Nurse Practitioner
  • Soldotna, AK
  • NPI 1679244685
  NPD

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1659825776",
    "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": "907-260-7300",
            "fax_number": "907-260-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FRONTAGE RD",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996119104",
            "telephone_number": "907-283-3600",
            "fax_number": "907-283-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.",
        "enumeration_date": "2016-08-05",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "AK",
            "license": "920499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenai",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kenai",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• McKinzie Marie Parker
• Jason Brett Parry, PA-C
• Pathways LLC
• Sabrina L Paxton
• Terry Pearson, LMT
• Peninsula Ear, Nose & Throat Clinic, Inc.
• Christian Hasting Pepper I
• Linda May Perry, LCSW
• Lisa Marie Perzechino
• Caitlin Peterson

• Federally Qualified Health Center (FQHC) in Kenai, AK
• Providers in Kenai, AK by specialty
• Federally Qualified Health Center (FQHC) in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.