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PETERSBURG MEDICAL CENTER
NPI 1609936111
Registered Nurse in Petersburg, AK

Active since December 12, 2006CLIA 02D0641854 · Certificate of Compliance
103 FRAM STREET, PETERSBURG, AK 99833(907) 772-4291(907) 772-3085 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petersburg Medical Center NPPES

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

PETERSBURG MEDICAL CENTER (NPI 1609936111) is a healthcare organization registered as a registered nurse in Petersburg, Alaska and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 4, 2028 and lists John Bringhurst, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609936111
Entity TypeOrganization
Primary Taxonomy163W00000X
Legal Business NamePETERSBURG MEDICAL CENTER
Location Address103 FRAM STREETPetersburg, AK 99833-0589
Mailing AddressPo Box 589Petersburg, AK 99833-0589 · (907) 772-4291 · Fax (907) 772-3085
Phone(907) 772-4291
Fax(907) 772-3085
Organization SubpartNo
Authorized OfficialJohn BringhurstCeo · (907) 772-4291
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1609936111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
103 FRAM STREET, Petersburg, AK 99833
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Other Identifiers 1

MedicaidNA2589AK

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

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 of Compliance 02D0641854

Petersburg Medical Center · Petersburg, AK
Active · expires Jan 4, 2028
CLIA Number02D0641854
Laboratory TypeHospital
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorDr. John Hoyt
Laboratory Phone(907) 772-5700
Laboratory LocationPetersburg Medical Center103 Fram Street, Petersburg, AK 99833
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

ELIZABETH POOLE
Nurse Practitioner (Family)
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
MOLLY PLATT PT
Physical Therapist
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (630) 297-1666
CATHERINE G WICKERT RN
Registered Nurse
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
JULIE WALKER
Health Educator
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
THE PETERSBURG MEDICAL CENTER
Skilled Nursing Facility
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
ANGELA DAWN MENISH APRN, FNP-BC
Nurse Practitioner (Family)
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4299
PHILIP J HOFSTETTER AUDIOLOGIST
Audiologist
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291
MARGARET D FLEMING MS,RD,LD
Dietitian, Registered
103 FRAM STREET
PETERSBURG, AK 99833
Petersburg Borough (907) 772-4291

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 Medical Center's NPI number?

The NPI number for Petersburg Medical Center is 1609936111. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Petersburg Medical Center located?

Petersburg Medical Center is located at 103 Fram Street, Petersburg, AK 99833. The listed phone number is (907) 772-4291.

What is Petersburg Medical Center's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Does Petersburg Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 02D0641854) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Petersburg Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.