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SOUTH CENTRAL FAMILY PRACTICE CLINIC PC
NPI 1003967753
Family Medicine in Soldotna, AK

Active since January 16, 2007CLIA 02D1015482 · Microscopy
161 N BINKLEY ST, SUITE 101, SOLDOTNA, AK 99669(907) 260-7784(907) 260-7738 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Central Family Practice Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH CENTRAL FAMILY PRACTICE CLINIC PC (NPI 1003967753) is a healthcare organization registered as a family medicine in Soldotna, Alaska and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through July 31, 2027 and lists Gladys J Bailon, President, as its authorized official.

NPPES Registry Identity

NPI1003967753
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH CENTRAL FAMILY PRACTICE CLINIC PC
Location Address161 N BINKLEY ST, SUITE 101Soldotna, AK 99669
Mailing AddressPo Box 1249Soldotna, AK 99669-1249 · (907) 260-7784 · Fax (907) 260-7738
Phone(907) 260-7784
Fax(907) 260-7738
Organization SubpartNo
Authorized OfficialGladys J BailonPresident · (907) 260-7784
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMay 18, 2018
✔ NPI 1003967753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AK · 901044
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
161 N BINKLEY ST, Soldotna, AK 99669
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Other Identifiers 3

OtherGJ520AK · Pacific Source Health
Other610985200AK · Owcp Federal Workers Comp
Other610985200AK · Owcp Federal Black Lung

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 02D1015482

South Central Family Practice Clinic · Soldotna, AK
Active · expires Jul 31, 2027
CLIA Number02D1015482
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorGladys Bailon MD
Laboratory Phone(907) 260-7784
Laboratory LocationSouth Central Family Practice Clinic161 N Binkley St Suite 101, Soldotna, AK 99669
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER E CANNAVA MD
Ophthalmology
161 N BINKLEY ST, STE 101
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-4462
DR. GLADYS BAILON M.D.
Family Medicine
161 N BINKLEY ST, SUITE 101
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-7784
DR. PEDRO E PEREZ M.D.
Family Medicine
161 N BINKLEY ST, SUITE 101
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-7784
PENINSULA EYE CLINIC, APC
Ophthalmology
161 N BINKLEY ST, SUITE 201
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-4462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Central Family Practice Clinic PC's NPI number?

The NPI number for South Central Family Practice Clinic PC is 1003967753. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is South Central Family Practice Clinic PC located?

South Central Family Practice Clinic PC is located at 161 N Binkley St Suite 101, Soldotna, AK 99669. The listed phone number is (907) 260-7784.

What is South Central Family Practice Clinic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does South Central Family Practice Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 02D1015482) is associated with this NPI, valid through July 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Central Family Practice Clinic PC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list South Central Family Practice Clinic PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Central Family Practice Clinic PC was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.