Organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Active
Other names
CENTRAL PENINSULA HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DAVIS (CEO)
(907) 714-4723
Entity
Organization
Contact information
Practice address
250 HOSPITAL PLACE, SOLDOTNA, AK 99669
(907) 714-4404
(907) 714-4696
Mailing address
250 HOSPITAL PLACE, SOLDOTNA, AK 99669
(907) 714-4404
(907) 714-4696
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
227830
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MS7723
—
AK
Enumeration date
11/15/2007
Last updated
04/24/2016
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