Provider Type Icon

NORTH PACIFIC MEDICAL CENTER PC NPI 1225106263


NPI Information

NPI: 1225106263
Provider Name: NORTH PACIFIC MEDICAL CENTER PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 02D0640992

Address:
104 CENTER AVE SUITE 100
KODIAK, AK
ZIP 99615
Phone: (907) 486-4183
Get Directions

NORTH PACIFIC MEDICAL CENTER PC is a family medicine in Kodiak, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTH PACIFIC MEDICAL CENTER PC NPI is 1225106263. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 CENTER AVE SUITE 100
KODIAK, AK
ZIP 99615
Phone: (907) 486-4183
Fax: (907) 486-4233

The provider's authorized official is Loren Dean Halter .
The authorized official title is President and has the following contact phone number (907) 486-4183.

The CLIA number assigned to this NPI record is 02D0640992 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 1/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C96841MEDICARE UPIN
2GR0124MEDICAIDALASKA
3MD1326MEDICAIDALASKA
408WCKNFBMEDICARE ID-TYPE UNSPECIFIEDALASKA
5160797MEDICARE PINALASKA
6C97045MEDICARE UPIN
7MD1532MEDICAIDALASKA
8Q77839MEDICARE UPINALASKA
908WCKNFAMEDICARE ID-TYPE UNSPECIFIEDALASKA
10K0000WCKNFMEDICARE PINALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.