| Peninsula Pediatric Therapy, Inc. | |
|
7335 Palmer Wasilla Hwy Palmer AK 99645-6007 | |
| (907) 250-1151 | |
| (907) 782-4202 |
| Full Name | Peninsula Pediatric Therapy, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 7335 Palmer Wasilla Hwy, Palmer, Alaska |
| Authorized Official Name and Position | Shani Lazell Dean (PRESIDENT) |
| Authorized Official Contact | 9072501151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peninsula Pediatric Therapy, Inc. 9040 E Gold Pan Dr Palmer AK 99645-9684 Ph: (907) 250-1151 | Peninsula Pediatric Therapy, Inc. 7335 Palmer Wasilla Hwy Palmer AK 99645-6007 Ph: (907) 250-1151 |
| NPI Number | 1194152058 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194152058 | NPI | - | NPPES |
| 1603051 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 334 (Alaska) | Primary |
The Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 561 S Denali St Ste E, Palmer, AK 99645 Phone: 907-745-1777 Fax: 907-745-0226 | |
Providence Matanuska Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2250 S. Woodworth Loop, Suite 101, Palmer, AK 99645 Phone: 907-761-5900 Fax: 907-761-5975 | |
Bruck Clift Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 North Hemmer Road Suite 110, Palmer, AK 99645 Phone: 907-746-6686 Fax: 907-745-7182 | |
Ideal Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 W Evergreen Ave, Suite A, Palmer, AK 99645 Phone: 907-746-3366 | |
Family Life Matters, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16720 E Maud Rd, Palmer, AK 99645 Phone: 907-631-3684 Fax: 907-707-1212 | |
Lakeview Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 N Hemmer Rd Ste 211, Palmer, AK 99645 Phone: 907-203-4677 Fax: 907-745-3780 |