| Kenai | |
|
805 Frontage Rd Suite 130 Kenai AK 99611-9104 | |
| (907) 283-3600 | |
| (907) 283-3601 |
| Full Name | Kenai |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 Frontage Rd, Kenai, Alaska |
| Authorized Official Name and Position | Benjamin J Wright (CEO) |
| Authorized Official Contact | 9072607314 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenai Po Box 2949 Soldotna AK 99669-2949 Ph: (907) 260-7300 | Kenai 805 Frontage Rd Suite 130 Kenai AK 99611-9104 Ph: (907) 283-3600 |
| NPI Number | 1659825776 |
|---|---|
| Provider Enumeration Date | 08/05/2016 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 8426043894 |
|---|---|
| Medicare Enrollment ID | O20161108002625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659825776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 920499 (Alaska) | Primary |
Kenai Medical Center - Cph Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Frontage Rd, Suite 123, Kenai, AK 99611 Phone: 907-283-4611 Fax: 907-283-3992 | |
Capstone Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10543 Kenai Spur Hwy, Kenai, AK 99611 Phone: 907-357-9590 Fax: 907-357-9593 | |
Ideal Option, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Frontage Rd # 400, Kenai, AK 99611 Phone: 509-222-1275 Fax: 509-491-3031 | |
Independence Healthcare Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Trading Bay Rd Ste 8, Kenai, AK 99611 Phone: 907-283-4633 Fax: 907-262-0832 | |
Kenai Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Bidarka St, Suite 101, Kenai, AK 99611 Phone: 907-335-0034 Fax: 907-335-0064 | |
Redoubt Medical Group Llc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 416 Frontage Rd Ste 200, Kenai, AK 99611 Phone: 907-283-6030 Fax: 907-283-3194 | |
Kenai Medical Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Frontage Rd, Ste 123, Kenai, AK 99611 Phone: 907-283-4611 Fax: 907-283-3992 |