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CENTRAL PENINSULA GENERAL HOSPITAL INC NPI 1588207179


NPI Information

NPI: 1588207179
Provider Name: CENTRAL PENINSULA GENERAL HOSPITAL, INC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 02D1005759

Address:
10128 KENAI SPUR HWY
KENAI, AK
ZIP 99611
Phone: (907) 714-5740
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CENTRAL PENINSULA GENERAL HOSPITAL, INC is an urgent care clinic center in Kenai, AK. CENTRAL PENINSULA GENERAL HOSPITAL, INC NPI is 1588207179. The provider is registered as an organization entity type.

The provider's business location address is:

10128 KENAI SPUR HWY
KENAI, AK
ZIP 99611-807
Phone: (907) 714-5740

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

The CLIA number assigned to this NPI record is 02D1005759 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2019 and was last updated on 10/25/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareYes

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: 11/14/2023

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