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Organization

CENTRAL PENINSULA GENERAL HOSPITAL

Active
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Organization

CENTRAL PENINSULA GENERAL HOSPITAL

Active
Other names
CENTRAL PENINSULA PEDIATRICS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN K SMITH (CEO)
(907) 714-4718
Entity
Organization

Contact information

Practice address
289 N. FIREWEED STREET, SUITE C, SOLDOTNA, AK 99669-7540
(907) 714-4045
Mailing address
289 N. FIREWEED STREET, SUITE C, SOLDOTNA, AK 99669-7540
(907) 714-4045

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
928993
AK
282NR1301X
Rural Acute Care Hospital
Primary
928993
AK

Other

Enumeration date
05/18/2009
Last updated
08/11/2009
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