Organization
SOUTH PENINSULA HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SMITH (CHIEF EXECUTIVE OFFICER)
(907) 235-0241
Entity
Organization
Contact information
Practice address
4201 BARTLETT ST, HOMER, AK 99603-7015
(907) 235-0369
(907) 235-0810
Mailing address
4300 BARTLETT ST, HOMER, AK 99603-7005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HH2711
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005186
—
AK
Enumeration date
01/04/2006
Last updated
03/04/2025
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