Organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Active
Parent organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Other names
Diamond Willow Sober Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Authorized official
RICHARD LANE DAVIS (CEO)
(907) 714-4723
Entity
Organization
Contact information
Practice address
362 TYEE ST, SOLDOTNA, AK 99669-7631
(907) 714-4521
(907) 260-4063
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
(907) 714-4502
(907) 714-4696
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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