SOUTH PENINSULA HOSPITAL INC. NPI 1679566269

NPI Information

NPI: 1679566269
Provider Name: SOUTH PENINSULA HOSPITAL, INC.
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
4300 BARTLETT STREET
HOMER, AK
ZIP 99603
Phone: (907) 235-8101
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SOUTH PENINSULA HOSPITAL, INC. is a critical access general acute care hospital in Homer, AK. SOUTH PENINSULA HOSPITAL, INC. NPI is 1679566269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4300 BARTLETT STREET
HOMER, AK
ZIP 99603-005
Phone: (907) 235-8101
Fax: (907) 235-0253

The provider's authorized official is Ryan Smith .
The authorized official title is Chief Executive Officer and has the following contact phone number (907) 235-0241.

The enumeration date for this NPI number is 8/29/2005 and was last updated on 2/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207PE0004X	Emergency Medicine	Emergency Medical Services	No
2	207X00000X	Orthopaedic Surgery		No
3	208600000X	Surgery		No
4	261QM1300X	Clinic/Center	Multi-Specialty	No
5	282NC0060X	General Acute Care Hospital	Critical Access	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1005654	MEDICAID	ALASKA
2	1028527	MEDICAID	ALASKA
3	1582637	MEDICAID	ALASKA
4	1005653	MEDICAID	ALASKA
5	1005186	MEDICAID	ALASKA
6	1020634	MEDICAID	ALASKA
7	1701931	MEDICAID	ALASKA
8	1582664	MEDICAID	ALASKA
9	1687518	MEDICAID	ALASKA
10	1687514	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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