Organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Active
Parent organization
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Other names
HERITAGE PLACE
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
232 ROCKWELL, SOLDOTNA, AK 99669
(907) 262-2545
(907) 260-4590
Mailing address
232 ROCKWELL, SOLDOTNA, AK 99669
(907) 262-2545
(907) 260-4590
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
736259
AK
314000000X
Skilled Nursing Facility
Primary
736259
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LT0640
—
AK
Enumeration date
06/29/2006
Last updated
12/26/2014
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