National Provider Identifier Database

CENTRAL PENINSULA GENERAL HOSPITAL INC
Rural

Contact Information

CENTRAL PENINSULA GENERAL HOSPITAL INC.
250 HOSPITAL PL
SOLDOTNA, AK  99669-7559
Phone: 907-714-4404
Fax:
Website:
Specialty Taxonomy Code
* Rural 282NR1301X
Medicare Defined Swing Bed Unit 275N00000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Rehabilitation, Substance Use Disorder Unit 276400000X

* Indicates primary specialty

NPI Profile & details for CENTRAL PENINSULA GENERAL HOSPITAL INC.

NPI Number 1528062429
Legal business name
LBN		 CENTRAL PENINSULA GENERAL HOSPITAL INC.
Authorized official RICK DAVIS - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/08/2005
Last updated 02/25/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • AK License #: 227830
  • AK License #: 311489
  • AK Medicaid: DA7523
  • AK Medicaid: HS01IP
  • AK Medicaid: HS01OP
  • AK Medicaid: HS01SB
  • AK Medicaid: MDG830
  • AK Medicaid: MS7723
  • AK Other: 155 BLUE CROSS
  • AK Other: 0004 TRICARE

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.

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