Organization
CENTRAL PENINSULA GENERAL HOSPITAL INC
Active
Other names
Central Peninsula Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DAVIS (CEO)
(907) 714-4723
Entity
Organization
Contact information
Practice address
240 HOSPITAL PL, STE 305, SOLDOTNA, AK 99669-7559
(907) 714-4130
(907) 714-4696
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4130
(907) 714-4696
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
955182
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG830
—
AK
Enumeration date
03/09/2011
Last updated
12/07/2020
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