Organization Name: | CENTRAL PENINSULA GENERAL HOSPITAL |
NPI Number: | 1093043234 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD DAVIS (CEO) |
Mailing Address: | 289 N Fireweed St Suite C Soldotna |
State: | AK US |
Postal Code: | 996697540 |
Phone Number: | 9077144075 |
Fax Number: | |
NPI Enumeration Date: | 11/30/2009 |
NPI Last Update Date: | 05/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 937105 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |