Central Peninsula Pain Management

LBN: Central Peninsula General Hospital
Central Peninsula Pain Management is an health care organization with primary practice located at 289 N Fireweed St Suite C, Soldotna AK 99669-7540. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Hospitals / Rural. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Central Peninsula General Hospital can be contacted via phone (907) 714-4075, or through Davis, Richard via phone (907) 714-4723.

Contact Information

Primary practice address
289 N Fireweed St Suite C Soldotna AK 99669-7540
Phone: (907) 714-4075
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Richard
Phone: (907) 714-4723

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 937105 Alaska
Hospitals / Rural 282NR1301X 937105 Alaska

Profile Details

NPI number 1093043234
LBN Legal business name Central Peninsula General Hospital
DBA Doing business as Central Peninsula Pain Management
Authorized official Davis, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2009
Last updated May 20th, 2012 - about 14 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 1093043234 NPPES
Alaska MEDICAID MDG830
Alaska Other 0004
Alaska Other 155

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