CENTRAL PENINSULA GENERAL HOSPITAL, INC (NPI# 1588207179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588207179 |
| Entity Type | Organization |
| Organization Name | CENTRAL PENINSULA GENERAL HOSPITAL, INC |
| Practice Address |
10128 Kenai Spur Hwy Kenai AK 99611-7807 |
| Mailing Address |
250 Hospital Pl Soldotna AK 99669-7559 |
| Practice Telephone | 9077145740 |
| Mailing Telephone | 9077144502 |
| Mailing Fax Number | 9072622745 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Authorized Official Name | RICHARD LANE DAVIS (CEO) |
| Authorized Official Telephone | 9077144723 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRAL PENINSULA GENERAL HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Peninsula Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073043717 | Central Peninsula General Hospital, Inc | Community/Behavioral Health | 354 Tyee St, Soldotna, AK 99669-7657 | 2017-06-15 |
| 1922036060 | Central Peninsula General Hospital, Inc | Nursing Facility/Intermediate Care Facility | 232 Rockwell, Soldotna, AK 99669 | 2006-06-29 |
| 1174122766 | Central Peninsula General Hospital, Inc | Community/Behavioral Health | 47480 Kristina Way, Kenai, AK 99611-5902 | 2020-10-23 |
| 1538631478 | Central Peninsula General Hospital, Inc | Family Medicine | 245 N Binkley St Ste 202, Soldotna, AK 99669-7500 | 2018-12-17 |
| 1639523418 | Central Peninsula General Hospital, Inc | Internal Medicine | 108 E Corral Ave, Soldotna, AK 99669-7524 | 2016-04-19 |
| 1003299108 | Central Peninsula General Hospital, Inc | General Acute Care Hospital | 805 Frontage Rd, Suite 123, Kenai, AK 99611-9104 | 2015-07-07 |
| 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 |
| 1245411453 | Central Peninsula General Hospital, Inc | Durable Medical Equipment & Medical Supplies | 250 Hospital Place, Soldotna, AK 99669 | 2007-11-15 |
| Street Address |
10128 KENAI SPUR HWY |
| City | KENAI |
| State | AK |
| Zip Code | 99611-7807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1104482967 | James Daniel Hudson | Massage Therapist | 601 Frontage Rd Suite 103, Kenai, AK 99611 | 2019-05-16 |
| 1255996351 | Shelly Lynn Niblack | Counselor | 10200, Kenai Sour Hwy, Kenai, AK 99611 | 2019-05-03 |
| 1780142042 | Odyssey Family Practice LLC | Clinic/Center | 11595 Kenai Spur Highway, Kenai, AK 99611 | 2019-03-06 |
| 1043793656 | Jerri Ann Chivers | Massage Therapist | 10815 Kenai Spur Highway, Kenai, AK 99611 | 2018-09-10 |
| 1003320060 | Christine G. Morin | Massage Therapist | 1608 Tanga Circle, Kenai, AK 99611 | 2017-11-28 |
| 1013433259 | Amanda Mckinley | Registered Nurse | 630 Barnacle Way Suite A, Kenai, AK 99611 | 2017-08-18 |
| 1780132753 | Kenai Peninsula Imaging Center LLC | Clinic/Center | 100 Trading Bay Rd Ste 7, Kenai, AK 99611 | 2016-09-19 |
| 1376905000 | Savana Long | Licensed Practical Nurse | 1700 Cone Avenue, Kenai, AK 99611 | 2016-03-22 |
| 1477977684 | Jac Enterprises, Inc. | Assisted Living Facility | 701 North Forest Dr, Kenai, AK 99611 | 2014-02-07 |
| Find all providers in zip 99611 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1003339334 | Kenai Peninsula Health System LLC Urgent Care of Soldotna | Clinic/Center | 44604 Sterling Hwy Ste D, Soldotna, AK 99669-7962 | 2017-07-19 |
| 1861935975 | Mat-su Valley IIi LLC | Clinic/Center | 5851 South Knik-goose Bay Road, Wasilla, AK 99623 | 2016-11-21 |
| 1710358809 | Anchorage Medical Services, Inc | Clinic/Center | 3401 Minnesota Dr Ste 100, Anchorage, AK 99503-3684 | 2015-10-14 |
| 1770724510 | Horizon Medical, Inc | Clinic/Center | 238.8 Parks Highway, Denali Park, AK 99755 | 2009-03-06 |
| 1366596504 | Kodiak Island Ambulatory Care Clinic Inc. | Clinic/Center | 202 Center Ave, Ste. 102, Kodiak, AK 99615-1126 | 2007-01-23 |
| 1578655213 | First Care Medical Centers LLC | Clinic/Center | 1301 Huffman Rd, Suite 100, Anchorage, AK 99515-3568 | 2006-09-29 |
| 1275587768 | Urgent Care At Lake Lucille Inc | Clinic/Center | 185 E Parks Hwy, Wasilla, AK 99654-7038 | 2006-05-20 |
| 1609871391 | Cross Road Health Ministries, Inc. | Clinic/Center | Mile 187 Glenn Highway, Glennallen, AK 99588-0589 | 2005-06-17 |
| 1306484332 | Urgent Care of Soldotna Inc. | Clinic/Center | 44604 Sterling Hwy Ste D, Soldotna, AK 99669-7962 | 2019-12-20 |
| 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.