NPIMap

Organization Active NPI

Peninsula Health Center, Inc

  • Chiropractor
  • Soldotna, AK
National Provider Identifier
1861686255
Registry record updated Oct 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PENINSULA HEALTH CENTER, INC
Practice address
33870 Polar St
Soldotna, AK 99669-9251
Phone
(907) 260-4844
Fax
(907) 262-9935
NPI assigned
Aug 29, 2007
Last updated
Oct 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2009

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

Authorized official

Name
Dr. Evan Eugene Frisk, D.C.NPI 1811198724
Title
President
Phone
(907) 260-4844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

33870 Polar St
Soldotna, AK 99669-9251

Mailing address

33870 Polar St
Soldotna, AK 99669-9251
Phone (907) 260-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070926000292 AK Part B Supplier - Clinic/Group Practice 5799879466 Receives reassigned benefits from 1 practitioner
Practice locations: Soldotna, AK

National Provider Directory

National Provider Directory
Tax ID family
Peninsula Health Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1861686255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33870 POLAR ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996699251",
            "telephone_number": "907-260-4844",
            "fax_number": "907-262-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33870 POLAR ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996699251",
            "telephone_number": "907-260-4844",
            "fax_number": "907-262-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA HEALTH CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "FRISK",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-260-4844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.