North Pacific Medical Center | |
104 Center Ave Ste 100 Kodiak AK 99615 | |
(907) 486-4183 | |
(907) 486-4233 |
Full Name | North Pacific Medical Center |
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Speciality | Family Medicine |
Location | 104 Center Ave, Kodiak, Alaska |
Authorized Official Name and Position | Loren Dean Halter (PRESIDENT) |
Authorized Official Contact | 9074864183 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Pacific Medical Center 104 Center Ave Ste 100 Kodiak AK 99615 Ph: (907) 486-4183 | North Pacific Medical Center 104 Center Ave Ste 100 Kodiak AK 99615 Ph: (907) 486-4183 |
NPI Number | 1225106263 |
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Provider Enumeration Date | 11/30/2006 |
Last Update Date | 10/04/2023 |
Medicare PECOS PAC ID | 6608768858 |
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Medicare Enrollment ID | O20040325000276 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225106263 | NPI | - | NPPES |
GR0124 | Medicaid | AK | |
MD1326 | Medicaid | AK | |
MD1532 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kevin Creelman |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1538205307 PECOS PAC ID: 7214962125 Enrollment ID: I20050929000341 |
Kodiak Area Native Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 Fax: 907-486-9897 | |
Kodiak Area Native Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9868 Fax: 907-486-9884 | |
Arctic Chiropractic & Massage Kodiak Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2975 Mill Bay Rd Ste A, Kodiak, AK 99615 Phone: 907-512-0809 Fax: 907-512-0828 | |
Kodiak Island Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-6065 Fax: 907-486-2248 | |
Kana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615 Phone: 907-486-9800 Fax: 907-486-9898 | |
Rockmore-king Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Building N46 Cape Sarichef, Kodiak, AK 99619 Phone: 907-487-5757 Fax: 907-487-5360 |