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CENTRAL PENINSULA GENERAL HOSPITAL

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1225263445

Organizational Registrant:
Organization Name:  CENTRAL PENINSULA GENERAL HOSPITAL
Organization is not Subpart
Authorized Official:  RYAN K SMITH  CEO  907--71-44718

Location and contact information for practice:
289 N. FIREWEED STREET SUITE C SOLDOTNA, AK 99669-7540 US
Tel: 907-714-4045  Fax: --

Contact information for business:
289 N. FIREWEED STREET SUITE C SOLDOTNA, AK 99669-7540 US
Tel: 907-714-4045  Fax: --

Registration Information:
NPI: 1225263445
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XAllopathic & Osteopathic Physicians
Pediatrics
AK928993
Y282NR1301XHospitals
General Acute Care Hospital
AK928993

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TRIWEST0004AK01
BLUE CROSS155AK01




HEALTH CARE JOBS AK - Page 1



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