Organization
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN J WRIGHT (CEO)
(907) 260-7314
Entity
Organization
Contact information
Practice address
230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
(907) 260-7300
(907) 260-7301
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 260-7300
(907) 260-7301
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
706967
AK
1041C0700X
Clinical Social Worker
706967
AK
122300000X
Dentist
706967
AK
174400000X
Specialist
2093
AK
207Q00000X
Family Medicine Physician
706967
AK
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
703967
AK
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363AM0700X
Medical Physician Assistant
706967
AK
363LC1500X
Community Health Nurse Practitioner
706967
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
737
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HC5786
MEDICAID PROJECT CHOICE
AK
01
—
K162666
MEDICARE PTAN
AK
Enumeration date
09/21/2006
Last updated
02/18/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us