National Provider Identifier Database

SOUTH PENINSULA HOSPITAL INC
Critical Access

Contact Information

SOUTH PENINSULA HOSPITAL, INC
4300 BARTLETT ST
HOMER, AK  99603-7005
Phone: 907-235-8101
Fax: 907-235-0253
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
General Acute Care Hospital 282N00000X
Medicare Defined Swing Bed Unit 275N00000X
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X

* Indicates primary specialty

NPI Profile & details for SOUTH PENINSULA HOSPITAL, INC

NPI Number 1093968372
Legal business name
LBN		 SOUTH PENINSULA HOSPITAL, INC
Authorized official RYAN SMITH - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 10/30/2008
Last updated 02/07/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 192072
  • AK Medicaid: 1005653
  • AK Medicaid: 1005654
  • AK Medicaid: 1020634
  • AK Medicaid: 1582637
  • AK Medicaid: 1582664
  • AK Medicaid: 1687514
  • AK Medicaid: 1687518
  • AK Medicaid: 1701931

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SOUTH PENINSULA HOSPITAL, INC

There are currently no reviews for SOUTH PENINSULA HOSPITAL, INC

NPIdb - Home
v2.201