# CENTRAL PENINSULA GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRAL PENINSULA PEDIATRICS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225263445
- **Authorized official:** MR. RYAN K SMITH (CEO)
- **Authorized official phone:** (907) 714-4718

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 928993 | AK | — |
| 282NR1301X | Rural Acute Care Hospital | 928993 | AK | Yes |

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 08/11/2009