| Central Peninsula General Hospital, Inc | |
|
362 Tyee St Soldotna AK 99669-7631 | |
| (907) 714-4521 | |
| (907) 260-4063 |
| Full Name | Central Peninsula General Hospital, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 362 Tyee St, Soldotna, Alaska |
| Authorized Official Name and Position | Richard Lane Davis (CEO) |
| Authorized Official Contact | 9077144723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Peninsula General Hospital, Inc 250 Hospital Pl Soldotna AK 99669-7559 Ph: (907) 714-4502 | Central Peninsula General Hospital, Inc 362 Tyee St Soldotna AK 99669-7631 Ph: (907) 714-4521 |
| NPI Number | 1679179204 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 12/09/2020 |
| Certification Date | 12/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679179204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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