CENTRAL PENINSULA GENERAL HOSPITAL INC (NPI# 1598063927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598063927 |
| Entity Type | Organization |
| Organization Name | CENTRAL PENINSULA GENERAL HOSPITAL INC |
| Other Organization Name | CENTRAL PENINSULA SURGICAL ASSOCIATES |
| Practice Address |
240 Hospital Pl Ste 305 Soldotna AK 99669-7559 |
| Mailing Address |
250 Hospital Pl Soldotna AK 99669-7559 |
| Practice Telephone | 9077144130 |
| Practice Fax Number | 9077144696 |
| Mailing Telephone | 9077144130 |
| Mailing Fax Number | 9077144696 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | MR. RICHARD DAVIS (CEO) |
| Authorized Official Telephone | 9077144723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
955182 | AK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MDG830 | 05 |
| Other Name | Type Code |
|---|---|
| Central Peninsula Surgical Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639494263 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 204, Soldotna, AK 99669-7559 | 2010-04-07 |
| 1598063539 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 108 E Corral Ave, Soldotna, AK 99669-7524 | 2011-02-28 |
| 1295059921 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7523 | 2010-03-24 |
| 1992033153 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 262 N Binkley St, Soldotna, AK 99669 | 2009-11-30 |
| 1770723967 | Central Peninsula General Hospital Inc | Nurse Practitioner | 506 Lake St, Kenai, AK 99611-6937 | 2009-02-27 |
| Street Address |
240 HOSPITAL PL STE 305 |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639494263 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 204, Soldotna, AK 99669-7559 | 2010-04-07 |
| 1275948424 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 303a, Soldotna, AK 99669-7559 | 2014-06-26 |
| 1780099051 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 203, Soldotna, AK 99669-7559 | 2014-06-25 |
| 1699119016 | Kristina Diann Lacy | Podiatrist | 240 Hospital Pl, Suite 203, Soldotna, AK 99669-7559 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639494263 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 204, Soldotna, AK 99669-7559 | 2010-04-07 |
| 1093043234 | Central Peninsula General Hospital | General Acute Care Hospital | 289 N Fireweed St, Suite C, Soldotna, AK 99669-7540 | 2009-11-30 |
| 1275948424 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 303a, Soldotna, AK 99669-7559 | 2014-06-26 |
| 1780099051 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 203, Soldotna, AK 99669-7559 | 2014-06-25 |
| 1609143866 | Central Peninsula Hospital | General Acute Care Hospital | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2011-11-16 |
| 1598063539 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 108 E Corral Ave, Soldotna, AK 99669-7524 | 2011-02-28 |
| 1831404805 | Central Peninsula General Hospital | General Acute Care Hospital | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7523 | 2010-08-13 |
| 1295059921 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 245 N Binkley St, Suite 101, Soldotna, AK 99669-7523 | 2010-03-24 |
| 1992033153 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 262 N Binkley St, Soldotna, AK 99669 | 2009-11-30 |
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|---|---|---|---|---|
| 1255585360 | Nshc Unalakleet Subregional Clinic | General Acute Care Hospital | 189 Happy Valley Rd, Unalakleet, AK 99684-0189 | 2008-11-17 |
| 1003299108 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 805 Frontage Rd, Suite 123, Kenai, AK 99611-9104 | 2015-07-07 |
| 1235480120 | Yukon Kuskokwim Health Corportation | General Acute Care Hospital | 700 Chief Eddie Hoffman Hwy, Ykhc Pharmacy Department, Bethel, AK 99559-0287 | 2012-10-02 |
| 1003137621 | Searhc Mt. Edgecumbe Hospital | General Acute Care Hospital | 222 Tongass Dr, Sitka, AK 99835-9416 | 2010-06-17 |
| 1881859577 | Samuel Simmonds Memorial Hospital | General Acute Care Hospital | 1296 Agvik Street, Barrow, AK 99723 | 2008-07-23 |
| 1942480843 | American Mobile Healthcare | General Acute Care Hospital | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-11-07 |
| 1285824763 | Norton Sound Health Corp | General Acute Care Hospital | 305 5th & Bering Street, Nome, AK 99762 | 2007-07-31 |
| 1861698805 | Maniilaq Association | General Acute Care Hospital | 436 5th & Ted Stevens Way, Kotzebue, AK 99752 | 2007-06-26 |
| 1992909881 | Maniilaq Association | General Acute Care Hospital | 436 5th & Ted Stevens Way, Kotzebue, AK 99752 | 2007-06-13 |
| 1275743742 | Maniilaq Association | General Acute Care Hospital | 436 5th & Ted Stevens Way, Kotzebue, AK 99752 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.