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PEACEHEALTH NPI 1528506961


NPI Information

NPI: 1528506961
Provider Name: PEACEHEALTH
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 02D0917382

Address:
1800 CRAIG-KLAWOCK HWY
CRAIG, AK
ZIP 99921
Phone: (907) 826-3257
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PEACEHEALTH is a rural health clinic center in Craig, AK. PEACEHEALTH NPI is 1528506961. The provider is registered as an organization entity type.

The provider's business location address is:

1800 CRAIG-KLAWOCK HWY
CRAIG, AK
ZIP 99921-805
Phone: (907) 826-3257

The provider's authorized official is Kimberly Hodgkinson .
The authorized official title is Cfo/evp and has the following contact phone number (360) 729-1102.

The CLIA number assigned to this NPI record is 02D0917382 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 2/6/2017.


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
1261QR1300XClinic/CenterRural HealthGACH-005ALASKAYes

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: 4/28/2024

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.