THE PETERSBURG MEDICAL CENTER (NPI# 1437122843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437122843 |
Entity Type | Organization |
Organization Name | THE PETERSBURG MEDICAL CENTER |
Other Organization Name | PETERSBURG GENERAL HOSPITAL |
Practice Address |
103 Fram Street Petersburg AK 99833-0589 |
Mailing Address |
Po Box 589 Petersburg AK 99833-0589 |
Practice Telephone | 9077724291 |
Practice Fax Number | 9077723085 |
Mailing Telephone | 9077724291 |
Mailing Fax Number | 9077723085 |
Enumeration Date | 2006-02-08 |
Last Update Date | 2012-04-26 |
Authorized Official Name | ELIZABETH WOODYARD (CEO) |
Authorized Official Telephone | 9077724291 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AK | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | HS09OP | 05 | |
AK | HS09IP | 05 |
Other Name | Type Code |
---|---|
Petersburg General Hospital | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790845204 | The Petersburg Medical Center | General Acute Care Hospital | 103 Fram Street, Petersburg, AK 99833-0589 | 2006-12-12 |
1790844033 | The Petersburg Medical Center | Registered Nurse | 103 Fram Street, Petersburg, AK 99833-0589 | 2006-12-06 |
1104984954 | The Petersburg Medical Center | Skilled Nursing Facility | 103 Fram Street, Petersburg, AK 99833-0589 | 2006-12-05 |
Street Address |
103 FRAM STREET |
City | PETERSBURG |
State | AK |
Zip Code | 99833-0589 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760005037 | Stacie Mckinley | Physical Therapist | 103 Fram Street, Petersburg, AK 99833 | 2020-05-21 |
1063053353 | Molly Platt | Physical Therapist | 103 Fram Street, Petersburg, AK 99833 | 2019-10-08 |
1740737725 | Brian Oakes | Nurse Practitioner | 103 Fram Street, Petersburg, AK 99833-0589 | 2016-09-07 |
1013369206 | Elizabeth Poole | Nurse Practitioner | 103 Fram Street, Petersburg, AK 99833 | 2016-07-12 |
1457746109 | Erin Michael | Registered Nurse | 103 Fram Street, Petersburg, AK 99833-0377 | 2015-03-31 |
1538429964 | Kayla J. Luhrs | Family Medicine | 103 Fram Street, Petersburg, AK 99833 | 2012-05-18 |
1093082497 | Catherine G Wickert | Registered Nurse | 103 Fram Street, Petersburg, AK 99833-0589 | 2011-11-30 |
1659671949 | Candyce A Jones | Registered Nurse | 103 Fram Street, Petersburg, AK 99833-0589 | 2010-11-02 |
1407161706 | Laraine K Smith | Registered Nurse | 103 Fram Street, Petersburg, AK 99833-0589 | 2010-08-11 |
1609915636 | Adriene Kim Fedde | Family Medicine | 103 Fram Street, Petersburg, AK 99833 | 2007-02-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831720713 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 202 2nd & Gjoa Street, Petersburg, AK 99833 | 2020-01-30 |
1710518006 | Troy Carl Larson | Behavior Technician | 200 Fram Street, Petersburg, AK 99833 | 2020-01-27 |
1770128316 | Brenda Louise | Assisted Living Facility | 206 S 2nd, Petersburg, AK 99833 | 2019-11-07 |
1861055337 | Ashley Kawashima | Counselor | 100 Fram St., Petersburg, AK 99833 | 2019-04-19 |
1932762499 | Mindy Lopez | Rehabilitation Counselor | 1016 Lake Street, Petersburg, AK 99833 | 2019-04-19 |
1760921753 | Patrick Sessa | Social Worker | 201 N Nordic Dr., Petersburg, AK 99833 | 2017-02-23 |
1992151294 | Bradee Ann Luhr | Physical Therapist | 244 Mitkof Highway, Petersburg, AK 99833 | 2016-05-05 |
1891158267 | Lina Kotsoeva | Counselor | 226 S Nordic Dr, Petersburg, AK 99833 | 2016-04-01 |
1447623137 | Pacific Wings, LLC | Air Carrier | 1500 Haugen Drive, Petersburg, AK 99833 | 2015-11-04 |
1366857088 | Amanda Lemiere Taylor | Social Worker | 201 N Nordic Dr, Petersburg, AK 99833 | 2014-06-23 |
Find all providers in zip 99833 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790845204 | The Petersburg Medical Center | General Acute Care Hospital | 103 Fram Street, Petersburg, AK 99833-0589 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295855666 | Norton Sound Health Corp | General Acute Care Hospital | Nshc, 306 W 5th, Nome, AK 99762 | 2007-03-30 |
1306933643 | Arctic Slope Native Association Ltd | General Acute Care Hospital | 7000 Uula Street, Barrow, AK 99723 | 2006-10-06 |
1518955731 | Wrangell Medical Center | General Acute Care Hospital | 310 Bennett Street, Wrangell, AK 99929-1081 | 2005-10-11 |
1013905660 | Providence Health & Services Washington | General Acute Care Hospital | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2005-10-07 |
1871996975 | Norton Sound Health Corp Physical Teraphy | General Acute Care Hospital | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2014-10-02 |
1780085381 | Sitka Community Hospital | General Acute Care Hospital | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-09-15 |
1588902027 | Norton Sound Health Corp | General Acute Care Hospital | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2013-01-17 |
1487898110 | Searhc Mt Edcumbe Hospital | General Acute Care Hospital | 222 Tongass Dr, Sitka, AK 99835-9416 | 2009-04-24 |
1962688309 | Bristol Bay Area Health Corporation | General Acute Care Hospital | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2008-01-16 |
1578758744 | Samuel Simmonds Memorial Hospital | General Acute Care Hospital | 1296 Agvik Street, Barrow, AK 99723-0029 | 2007-09-11 |
Find all providers with the same taxonomy |
City | PETERSBURG |
Zip Code | 99833 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.