| Organization Name: | CENTRAL PENINSULA GENERAL HOSPITAL, INC |
| NPI Number: | 1003299108 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD DAVIS (CEO) |
| Mailing Address: | 805 Frontage Rd Suite 123 Kenai |
| State: | AK US |
| Postal Code: | 996119104 |
| Phone Number: | 9072834611 |
| Fax Number: | 9072833992 |
| NPI Enumeration Date: | 07/07/2015 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | GACH-003 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AK |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |