# CENTRAL PENINSULA GENERAL HOSPITAL, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kenai Medical Center - CPH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003299108
- **Authorized official:** RICHARD DAVIS (CEO)
- **Authorized official phone:** (907) 714-4723

## Contact information

- **Practice address:** 805 FRONTAGE RD, SUITE 123, KENAI, AK 99611-9104
- **Practice address phone:** (907) 283-4611
- **Practice address fax:** (907) 283-3992
- **Mailing address:** 250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
- **Mailing address phone:** (907) 714-4404
- **Mailing address fax:** (907) 714-4696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | AK | Yes |
| 282NR1301X | Rural Acute Care Hospital | GACH-003 | AK | — |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015