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Contact Information

CENTRAL PENINSULA GENERAL HOSPITAL INC.
250 HOSPITAL PL
SOLDOTNA, AK99669-7559
 Phone: 907-714-4404
 Fax:
 Website:
 

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
Indicates primary specialty

NPI Profile & details for CENTRAL PENINSULA GENERAL HOSPITAL INC.

NPI Number 1528062429
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
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 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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