Organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Active
Parent organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Other names
Central Peninsula Internal Medicine Associates
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
247 N FIREWEED ST STE A, SOLDOTNA, AK 99669-7593
(907) 262-8597
(907) 262-6516
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-5640
(907) 714-5205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1034006
AK
Other
Enumeration date
04/19/2016
Last updated
12/07/2020
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