PETERSBURG MEDICAL CENTER
NPI 1609936111
Registered Nurse in Petersburg, AK

NPI Status: Active since December 12, 2006

Contact Information

103 FRAM STREET
PETERSBURG, AK
ZIP 99833
Phone: (907) 772-4291
Fax: (907) 772-3085

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  • Organization
  • Registered Nurse
  • CLIA Number: 02D0641854
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 01-04-2028

About PETERSBURG MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Petersburg Medical Center, a provider established in Petersburg, Alaska operating as a Registered Nurse. The healthcare provider is registered in the NPI registry with number 1609936111 assigned on December 2006. The practitioner's primary taxonomy code is 163W00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is John Bringhurst (Ceo)

NPI
1609936111
Provider Name
PETERSBURG MEDICAL CENTER
Entity Type
Organization
Location Address
103 FRAM STREET PETERSBURG, AK 99833
Location Phone
(907) 772-4291
Location Fax
(907) 772-3085
Mailing Address
PO BOX 589 PETERSBURG, AK 99833
Mailing Phone
(907) 772-4291
Mailing Fax
(907) 772-3085
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2006
Last Update Date
08-22-2020
Code Navigator

A registered nurse (RN) like Petersburg Medical Center coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

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

Registered Nurse

Taxonomy Code
163W00000X
Type
Nursing Service Providers
License State
AK
Taxonomy Description
(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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

JOHN BRINGHURST

Authorized Official Title
CEO
Authorized Official Phone
(907) 772-4291

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
NA2589MEDICAID (05)AK 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
02D0641854
Facility Type
Hospital
Certificate Effective Date
January 05, 2026
Certificate Expiration Date
January 04, 2028
Laboratory Director
DR. VALERIE MCWHORTER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Petersburg Medical Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for PETERSBURG MEDICAL CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609936111, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 1 + 8 + 3 + 1 + 2 + 1 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1609936111.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine (Sports Medicine)
103 FRAM STREET
PETERSBURG, AK 99833
Registered Nurse
103 FRAM STREET
PETERSBURG, AK 99833
Dietitian, Registered
103 FRAM STREET
PETERSBURG, AK 99833
Nursing Facility/Intermediate Care Facility
103 FRAM STREET
PETERSBURG, AK 99833
Registered Nurse
103 FRAM STREET
PETERSBURG, AK 99833
Registered Nurse
103 FRAM STREET
PETERSBURG, AK 99833
Registered Nurse
103 FRAM STREET
PETERSBURG, AK 99833
Skilled Nursing Facility
103 FRAM STREET
PETERSBURG, AK 99833
General Acute Care Hospital (Critical Access)
103 FRAM STREET
PETERSBURG, AK 99833
Registered Nurse
103 FRAM STREET
PETERSBURG, AK 99833
Nurse Practitioner (Family)
103 FRAM STREET
PETERSBURG, AK 99833
Audiologist
103 FRAM STREET
PETERSBURG, AK 99833
Physical Therapist
103 FRAM STREET
PETERSBURG, AK 99833
Physical Therapist
103 FRAM STREET
PETERSBURG, AK 99833
Family Medicine
103 FRAM STREET
PETERSBURG, AK 99833
Family Medicine
103 FRAM STREET
PETERSBURG, AK 99833
Family Medicine
103 FRAM STREET
PETERSBURG, AK 99833
Health Educator
103 FRAM STREET
PETERSBURG, AK 99833
Health Educator
103 FRAM STREET
PETERSBURG, AK 99833
Home Health
103 FRAM STREET
PETERSBURG, AK 99833

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609936111, enumerated as an "organization" on December 12, 2006.

The provider is located at 103 FRAM STREET PETERSBURG, AK 99833 and the phone number is (907) 772-4291.

Registered Nurse with taxonomy code 163W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.