CENTRAL PENINSULA GENERAL HOSPITAL NPI 1831404805

NPI Information

CENTRAL PENINSULA GENERAL HOSPITAL is a rural general acute care hospital in Soldotna, AK. CENTRAL PENINSULA GENERAL HOSPITAL NPI is 1831404805. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Peninsula Family Practice Fireweed.

The provider's business location address is:

245 N BINKLEY ST
SUITE 101
SOLDOTNA, AK
ZIP 99669-523
Phone: (907) 714-4111
Fax: (907) 714-4696

The provider's authorized official is Rick 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 02D2013743 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2010 and was last updated on 6/4/2012.

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:

Other Identifiers

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

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