PETERS CREEK MEDICAL SOLUTIONS
NPI 1134258247
Clinic/Center - Health Service in Chugiak, AK

NPI Status: Active since March 05, 2007

Contact Information

20905 EASTSIDE DR #1
CHUGIAK, AK
ZIP 99567
Phone: (907) 688-0901
Fax: (907) 688-0830

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  • Organization
  • Clinic/Center
  • Health Service

About PETERS CREEK MEDICAL SOLUTIONS

This page provides the complete NPI Profile along with additional information for Peters Creek Medical Solutions, a provider established in Chugiak, Alaska operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1134258247 assigned on March 2007. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Peters Creek Medical Solutions. The authorized official of this NPI record is Diane E Hodges (Office Manager)

NPI
1134258247
Provider Legal Name
OLGA IRIS WASILE
Other Organization Name
PETERS CREEK MEDICAL SOLUTIONS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
20905 EASTSIDE DR #1 CHUGIAK, AK 99567
Location Phone
(907) 688-0901
Location Fax
(907) 688-0830
Mailing Address
PO BOX 671249 CHUGIAK, AK 99567
Mailing Phone
(907) 688-0901
Mailing Fax
(907) 688-0830
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2007
Last Update Date
06-18-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANE E HODGES

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(907) 688-0901

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1306952569OTHER (01)AKWASILE NPI
4987OTHER (01)AKOCCUPATIONAL LICENSE
K152454MEDICARE UPIN (02)AK 
MD57672MEDICAID (05)AK 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134258247
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164451628
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 4 + 5 + 1 + 6 + 2 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1134258247 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134258247, enumerated in the NPI registry as an "organization" on March 05, 2007

The provider is located at 20905 Eastside Dr #1 Chugiak, Ak 99567 and the phone number is (907) 688-0901

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.