Organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Active
Parent organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Other names
Central Peninsula Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Authorized official
RICHARD DAVIS (CEO)
(907) 714-4723
Entity
Organization
Contact information
Practice address
240 HOSPITAL PL, STE 303A, SOLDOTNA, AK 99669-7559
(907) 714-4404
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
282NR1301X
Rural Acute Care Hospital
GACH-003
AK
Other
Enumeration date
06/26/2014
Last updated
12/07/2020
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