Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural |
282NR1301X | |||
Medicare Defined Swing Bed Unit |
275N00000X | A0[7] | Hospital-Swing Bed Approved | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center | |
Rehabilitation, Substance Use Disorder Unit |
276400000X |
| NPI Number | 1528062429 |
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| LBN Legal business name | CENTRAL PENINSULA GENERAL HOSPITAL INC. | ||||||||||||||||||||||||||||||||||||||||
| Authorized official | RICK DAVIS - (CEO) | ||||||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||||||||||
| Enumeration date | 06/08/2005 | ||||||||||||||||||||||||||||||||||||||||
| Last updated | 02/25/2012 - About 14 years ago | ||||||||||||||||||||||||||||||||||||||||
| Identifiers |
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