# CENTRAL PENINSULA GENERAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Peninsula Surgical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598063927
- **Authorized official:** MR. RICHARD DAVIS (CEO)
- **Authorized official phone:** (907) 714-4723

## Contact information

- **Practice address:** 240 HOSPITAL PL, STE 305, SOLDOTNA, AK 99669-7559
- **Practice address phone:** (907) 714-4130
- **Practice address fax:** (907) 714-4696
- **Mailing address:** 250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
- **Mailing address phone:** (907) 714-4130
- **Mailing address fax:** (907) 714-4696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | 955182 | AK | Yes |

## Other

- **Enumeration date:** 03/09/2011
- **Last updated:** 12/07/2020
