CENTRAL PENINSULA GENERAL HOSPITAL INC NPI 1003299108

NPI Information

NPI: 1003299108
Provider Name: CENTRAL PENINSULA GENERAL HOSPITAL, INC

Doing Business As: KENAI MEDICAL CENTER - CPH

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
805 FRONTAGE RD
SUITE 123
KENAI, AK
ZIP 99611
Phone: (907) 283-4611
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CENTRAL PENINSULA GENERAL HOSPITAL, INC is a family medicine in Kenai, AK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTRAL PENINSULA GENERAL HOSPITAL, INC NPI is 1003299108. The provider is registered as an organization entity type.
The provider Is Doing Business As Kenai Medical Center - Cph.

The provider's business location address is:

805 FRONTAGE RD
SUITE 123
KENAI, AK
ZIP 99611-104
Phone: (907) 283-4611
Fax: (907) 283-3992

The provider's authorized official is Richard Davis .
The authorized official title is Ceo and has the following contact phone number (907) 714-4723.

The enumeration date for this NPI number is 7/7/2015 and was last updated on 7/7/2015.

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	License Number	License State	Primary
1	282NR1301X	General Acute Care Hospital	Rural	GACH-003	ALASKA	No
2	207Q00000X	Family Medicine			ALASKA	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	Other Provider Identifier Issuer
1	K0000ZBBBZ	MEDICARE OSCAR/CERTIFICATION	ALASKA
2	020024	MEDICARE OSCAR/CERTIFICATION	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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