OrganizationActive
Central Peninsula General Hospital, Inc
NPI 1679179204 · Community/Behavioral Health Agency · Soldotna, AK
Provider details
- NPI number
- 1679179204
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Parent organization
- Central Peninsula General Hospital, Inc
- Organization subpart
- Yes
- Authorized official
- Richard Davis, Ceo(907) 714-4723
Specialties & taxonomies
Agencies
Practice location
362 Tyee St
Soldotna, AK 99669-7631
Phone: (907) 714-4521
Fax: (907) 260-4063
Approximate (ZIP-level) locationGet directions
Mailing address
250 Hospital Pl
Soldotna, AK 99669-7559
Other names (DBA / former)
- Doing business as
- Diamond Willow Sober Living
Registry dates
- Enumerated
- 2020-12-09
- Last updated
- 2020-12-09
- Certified
- 2020-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.