PETERSBURG BOROUGH
NPI 1023132784
Assisted Living Facility in Petersburg, AK

Q: What is Petersburg Borough's NPI number?

The NPI number for Petersburg Borough is 1023132784. It was assigned to this organization in the NPPES registry on March 19, 2007.

Q: What is Petersburg Borough's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since March 19, 2007

16 NORTH 12TH STREET, PETERSBURG, AK 99833(907) 772-3445(907) 772-4217 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 29, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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About Petersburg Borough NPPES

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

PETERSBURG BOROUGH (NPI 1023132784) is a healthcare organization registered as an assisted living facility in Petersburg, Alaska and active in the NPI registry since March 2007. The organization lists Shelyn Marie Bell, Director/administrator, as its authorized official.

NPPES Registry Identity

NPI1023132784

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePETERSBURG BOROUGH

Location Address16 NORTH 12TH STREETPetersburg, AK 99833-0000

Mailing AddressPo Box 1530Petersburg, AK 99833-1530 · (907) 772-2445 · Fax (907) 772-2435

Phone(907) 772-3445

Fax(907) 772-4217

Organization SubpartNo

Authorized OfficialShelyn Marie BellDirector/administrator · (907) 772-2445

Enumeration DateMarch 19, 2007

Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration

NPPES CertifiedDecember 29, 2021

✔ NPI 1023132784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in AK · 00276

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

16 NORTH 12TH STREET, Petersburg, AK 99833

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Other Identifiers 1

MedicaidRL5005AK

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 Petersburg Borough's NPI number?

The NPI number for Petersburg Borough is 1023132784. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Petersburg Borough located?

Petersburg Borough is located at 16 North 12th Street, Petersburg, AK 99833. The listed phone number is (907) 772-3445.

What is Petersburg Borough's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Petersburg Borough was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.