CENTRAL PENINSULA GENERAL HOSPITAL INC NPI 1013791227

NPI Information

  • NPI: 1013791227
  • Provider Name: CENTRAL PENINSULA GENERAL HOSPITAL, INC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Doing Business As: CENTRAL PENINSULA ENDOCRINOLOGY AND DIABETES
  • CLIA Number: 02D1069483
  • Address: 209 W KATMAI AVE
    SOLDOTNA, AK
    ZIP 99669
  • Phone: (907) 714-4726

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NPI Details

CENTRAL PENINSULA GENERAL HOSPITAL, INC is an endocrinology and diabetes and metabolism internal medicine in Soldotna, AK. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. CENTRAL PENINSULA GENERAL HOSPITAL, INC NPI is 1013791227. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Central Peninsula Endocrinology And Diabetes.

The provider's business location address is:

209 W KATMAI AVE
SOLDOTNA, AK
ZIP 99669-409
Phone: (907) 714-4726

The provider's authorized official is Michael Jon Haggerty .
The authorized official title is Cfo and has the following contact phone number (907) 714-4722.

The CLIA number assigned to this NPI record is 02D1069483 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2023 and was last updated on 11/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

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This page was last updated on: 3/30/2025

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