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
—
—
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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