SOUTH PENINSULA HOSPITAL INC NPI 1093968372

NPI Information

NPI: 1093968372
Provider Name: SOUTH PENINSULA HOSPITAL, INC
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
4300 BARTLETT ST
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 1093968372. The provider is registered as an organization entity type.

The provider's business location address is:

4300 BARTLETT ST
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 10/30/2008 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	License Number	License State	Primary
1	275N00000X	Medicare Defined Swing Bed Unit		192072	ALASKA	No
2	282N00000X	General Acute Care Hospital				No
3	282NC0060X	General Acute Care Hospital	Critical Access	192072	ALASKA	Yes
4	313M00000X	Nursing Facility/Intermediate Care Facility				No
5	314000000X	Skilled Nursing Facility				No

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	1582637	MEDICAID	ALASKA
2	1582664	MEDICAID	ALASKA
3	1687514	MEDICAID	ALASKA
4	1005653	MEDICAID	ALASKA
5	1005654	MEDICAID	ALASKA
6	1020634	MEDICAID	ALASKA
7	1687518	MEDICAID	ALASKA
8	1701931	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: 5/5/2024

NPI Synchronization or Removal

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