South Peninsula Hospital, Inc

LBN: South Peninsula Hospital, Inc
South Peninsula Hospital, Inc is an health care organization with primary practice located at 4300 Bartlett St , Homer AK 99603-7005. The organization recently has 5 registered licenses in different health care specialties including Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / General Acute Care Hospital, Hospitals / Critical Access, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Hospitals / Critical Access is the primary health care specialty. South Peninsula Hospital, Inc can be contacted via phone (907) 235-8101, or through Smith, Ryan via phone (907) 235-0241.

Contact Information

Primary practice address
4300 Bartlett St Homer AK 99603-7005
Phone: (907) 235-8101
Fax: (907) 235-0253
Website:
Map and Directions
Authorized official contact:
Name: Smith, Ryan
Phone: (907) 235-0241

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X 192072 Alaska
Hospitals / General Acute Care Hospital 282N00000X
Hospitals / Critical Access 282NC0060X 192072 Alaska
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1093968372
LBN Legal business name South Peninsula Hospital, Inc
DBA Doing business as
Authorized official Smith, Ryan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2008
Last updated Feb 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093968372 NPPES
Alaska MEDICAID 1005654
Alaska MEDICAID 1582637
Alaska MEDICAID 1687514
Alaska MEDICAID 1005653
Alaska MEDICAID 1020634
Alaska MEDICAID 1582664
Alaska MEDICAID 1687518
Alaska MEDICAID 1701931

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