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Organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Active
Organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Active
Parent organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Other names
Serenity House Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Authorized official
RICHARD LANE DAVIS (CEO)
(907) 714-4723
Entity
Organization
Contact information
Practice address
245 N BINKLEY ST STE 202, SOLDOTNA, AK 99669-7500
(907) 714-4521
(907) 260-4063
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4521
(907) 260-4063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/07/2020
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