# CENTRAL PENINSULA GENERAL HOSPITAL, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL PENINSULA GENERAL HOSPITAL, INC
- **Other names:** Central Peninsula Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588207179
- **Legal business name:** CENTRAL PENINSULA GENERAL HOSPITAL, INC
- **Authorized official:** RICHARD LANE DAVIS (CEO)
- **Authorized official phone:** (907) 714-4723

## Contact information

- **Practice address:** 10128 KENAI SPUR HWY, KENAI, AK 99611-7807
- **Practice address phone:** (907) 714-5740
- **Mailing address:** 250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
- **Mailing address phone:** (907) 714-4502
- **Mailing address fax:** (907) 262-2745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/25/2019
- **Last updated:** 10/25/2019