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Organization
THE PETERSBURG MEDICAL CENTER
Active
Organization
THE PETERSBURG MEDICAL CENTER
Active
Other names
Petersburg General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN LANTIEGNE (OFFICE MANAGER)
(907) 772-4291
Entity
Organization
Contact information
Practice address
103 FRAM STREET, PETERSBURG, AK 99833-0589
(907) 772-4291
(907) 772-3085
Mailing address
103 FRAM STREET, PO BOX 589, PETERSBURG, AK 99833-0589
(907) 772-4291
(907) 772-3085
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
AK
251E00000X
Home Health Agency
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HH0057
—
AK
Enumeration date
12/06/2006
Last updated
10/08/2021
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