Organization
CENTRAL PENINSULA GENERAL HOSPITAL
Active
Other names
Central Peninsula Family Practice Fireweed
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK DAVIS (CEO)
(907) 714-4723
Entity
Organization
Contact information
Practice address
245 N BINKLEY ST, SUITE 101, SOLDOTNA, AK 99669-7523
(907) 714-4111
(907) 714-4696
Mailing address
250 HOSPITAL PL, SOLDOTNA, AK 99669-7559
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004
TRIWEST
AK
01
—
155
BLUE CROSS
AK
05
—
MDG830
—
AK
Enumeration date
08/13/2010
Last updated
06/04/2012
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