# 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
- **Parent organization:** CENTRAL PENINSULA GENERAL HOSPITAL, INC
- **Other names:** Central Peninsula Endocrinology and Diabetes
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013791227
- **Legal business name:** CENTRAL PENINSULA GENERAL HOSPITAL, INC
- **Authorized official:** MICHAEL JON HAGGERTY (CFO)
- **Authorized official phone:** (907) 714-4722

## Contact information

- **Practice address:** 209 W KATMAI AVE, SOLDOTNA, AK 99669-7409
- **Practice address phone:** (907) 714-4726
- **Mailing address:** 250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
- **Mailing address phone:** (907) 714-4726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2023
- **Last updated:** 11/03/2023