| Petersburg Clinic | |
|
202 Gjoa St Petersburg AK 99833 | |
| (907) 772-4963 | |
| (907) 772-4964 |
| Full Name | Petersburg Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 202 Gjoa St, Petersburg, Alaska |
| Authorized Official Name and Position | Daniel Neumeister (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 9074634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petersburg Clinic 3100 Channel Dr Ste 300 Juneau AK 99801-7837 Ph: (907) 463-4074 | Petersburg Clinic 202 Gjoa St Petersburg AK 99833 Ph: (907) 772-4963 |
| NPI Number | 1447438502 |
|---|---|
| Provider Enumeration Date | 01/31/2008 |
| Last Update Date | 05/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447438502 | NPI | - | NPPES |
| MDG633 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 70602 (Alaska) | Primary |
The Petersburg Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 Fram Street, Petersburg, AK 99833 Phone: 907-772-4291 Fax: 907-772-3085 | |
Petersburg Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Fram Street, Petersburg, AK 99833 Phone: 907-772-4299 Fax: 907-772-9273 |