Organization
CENTRAL PENINSULA GENERAL HOSPITAL
Active
Other names
Central Peninsula Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DAVIS (CEO)
(907) 714-4723
Entity
Organization
Contact information
Practice address
289 N FIREWEED ST, SUITE C, SOLDOTNA, AK 99669-7540
(907) 714-4075
Mailing address
289 N FIREWEED ST, SUITE C, SOLDOTNA, AK 99669-7540
(907) 714-4075
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
937105
AK
282NR1301X
Rural Acute Care Hospital
937105
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004
TRICARE
—
01
—
155
BLUE CROSS
—
05
—
MDG830
—
AK
Enumeration date
11/30/2009
Last updated
05/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us