Organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Active
Other names
Kenai Medical Center - CPH
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DAVIS (CEO)
(907) 714-4723
Entity
Organization
Contact information
Practice address
805 FRONTAGE RD, SUITE 123, KENAI, AK 99611-9104
(907) 283-4611
(907) 283-3992
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4404
(907) 714-4696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
AK
282NR1301X
Rural Acute Care Hospital
GACH-003
AK
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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