Central Peninsula Family Practice
LBN: Central Peninsula General Hospital Inc
Central Peninsula Family Practice is an health care organization with primary practice located at 506 Lake St , Kenai AK 99611-6937. The organization recently has 3 registered licenses in different health care specialties including Hospitals / Rural, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Hospitals / Rural is the primary health care specialty.
Central Peninsula General Hospital Inc can be contacted via phone (907) 714-4030, or through Davis, Richard via phone (907) 714-4723.
Contact Information
Primary practice address
506 Lake St
Kenai AK 99611-6937
Phone: (907) 714-4030
Fax: (907) 335-0064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Rural | 282NR1301X | 926294 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 926294 | Alaska |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 926294 | Alaska |
Profile Details
| NPI number | 1770723967 |
|---|---|
| LBN Legal business name | Central Peninsula General Hospital Inc |
| DBA Doing business as | Central Peninsula Family Practice |
| Authorized official | Davis, Richard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2009 |
| Last updated | Dec 7th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770723967 | NPPES |
| Alaska | Other | 0004 | TRICARE |
| Alaska | Other | 155 | TRICARE |
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