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Organization

CENTRAL PENINSULA GENERAL HOSPITAL INC

Active
Other names
Central Peninsula Orthopedics
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD DAVIS (CEO)
(907) 714-4723
Entity
Organization

Contact information

Practice address
240 HOSPITAL PL, STE 204, SOLDOTNA, AK 99669-7559
(907) 714-4120
(907) 714-4696
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4120
(907) 714-4696

Taxonomy

Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
941255
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004
TRIWEST
AK
01
155
BLUE CROSS
AK
05
MDG830
AK
Enumeration date
04/07/2010
Last updated
12/07/2020
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