SOUTH PENINSULA HOSPITAL, INC; NPI #1093968372

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	Specialty Code	Provider Type
Critical Access	282NC0060X	A0[7]	Critical Access Hospital
General Acute Care Hospital	282N00000X	A0[7]	Hospital-General
Medicare Defined Swing Bed Unit	275N00000X	A0[7]	Hospital-Swing Bed Approved
Nursing Facility/Intermediate Care Facility	313M00000X	A3[10]	Other Nursing Facility
Skilled Nursing Facility	314000000X	A1[8]	Skilled Nursing Facility

Indicates primary specialty

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NPI Profile & details for SOUTH PENINSULA HOSPITAL, INC

NPI Number 1093968372

LBN Legal business name SOUTH PENINSULA HOSPITAL, INC

Authorized official RYAN SMITH - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/30/2008

Last updated 02/07/2020 - About 6 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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