Organization
CENTRAL PENINSULA GENERAL HOSPITAL INC.
Active
Other names
Central Peninsula Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RICK DAVIS (CEO)
(907) 714-4723
Entity
Organization
Contact information
Practice address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4404
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4404
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
227830
AK
275N00000X
Medicare Defined Swing Bed Hospital Unit
227830
AK
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
311489
AK
282NR1301X
Rural Acute Care Hospital
Primary
227830
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004
TRICARE
AK
01
—
155
BLUE CROSS
AK
05
—
DA7523
—
AK
05
—
HS01IP
—
AK
05
—
HS01OP
—
AK
05
—
HS01SB
—
AK
05
—
MDG830
—
AK
05
—
MS7723
—
AK
Enumeration date
06/08/2005
Last updated
02/25/2012
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