CENTRAL PENINSULA GENERAL HOSPITAL INC. (NPI# 1528062429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528062429 |
| Entity Type | Organization |
| Organization Name | CENTRAL PENINSULA GENERAL HOSPITAL INC. |
| Other Organization Name | CENTRAL PENINSULA HOSPITAL |
| Practice Address |
250 Hospital Pl Soldotna AK 99669-7559 |
| Practice Telephone | 9077144404 |
| Mailing Telephone | 9077144404 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2012-02-25 |
| Authorized Official Name | RICK DAVIS (CEO) |
| Authorized Official Telephone | 9077144723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
227830 | AK | Ambulatory Health Care Facilities |
| N | 275N00000X | Medicare Defined Swing Bed Unit | 227830 | AK | Hospital Units |
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | 311489 | AK | Hospital Units |
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
227830 | AK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MDG830 | 05 | |
| AK | DA7523 | 05 | |
| AK | HS01SB | 05 | |
| AK | TRICARE | 0004 | 01 |
| AK | HS01IP | 05 | |
| AK | HS01OP | 05 | |
| AK | BLUE CROSS | 155 | 01 |
| AK | MS7723 | 05 |
| Other Name | Type Code |
|---|---|
| Central Peninsula Hospital | Doing Business As Name - Organization |
| Street Address |
250 HOSPITAL PL |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669-7559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073692 | Whidbey Island Public Hospital District | Radiology | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2020-04-28 |
| 1215575048 | Lindsey Kerr | Occupational Therapist | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2019-12-11 |
| 1437793031 | Anna M Kiefer | Dietitian, Registered | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2019-11-06 |
| 1699330100 | Lindsay Lebrun | Dietitian, Registered | 250 Hospital Pl, Soldotna, AK 99669-6999 | 2019-05-09 |
| 1134692908 | Stephanie L Haasis | Counselor | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2019-01-04 |
| 1861964108 | Laura M Timko | Dietitian, Registered | 250 Hospital Pl, Soldotna, AK 99669-6999 | 2018-12-27 |
| 1760925028 | Phil Sanders | Pharmacist | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2016-11-18 |
| 1023565751 | Amanda Lee | Nurse Anesthetist, Certified Registered | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2016-09-11 |
| 1003260167 | Theresa Chihuly | Nurse Anesthetist, Certified Registered | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2016-04-14 |
| 1477926400 | Laura Williams | Technician | 250 Hospital Pl, Soldotna, AK 99669-7559 | 2015-11-13 |
| Find all providers in the same location | ||||
| 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 |
| 1598063927 | Central Peninsula General Hospital Inc | General Acute Care Hospital | 240 Hospital Pl, Ste 305, Soldotna, AK 99669-7559 | 2011-03-09 |
| 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 |
| Find all providers in SOLDOTNA | ||||
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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.