SOUTH PENINSULA HOSPITAL, INC. – NPI #1679566269
General Acute Care Hospital

SOUTH PENINSULA HOSPITAL, INC. is a general acute care hospital located in HOMER, AK. NPPES has assigned the NPI number 1679566269 to SOUTH PENINSULA HOSPITAL, INC. on August 29, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on Feb 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH PENINSULA HOSPITAL, INC. below.

NPI Profile for
SOUTH PENINSULA HOSPITAL, INC.

NPI Number
1679566269
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH PENINSULA HOSPITAL, INC.
Primary location
4300 BARTLETT STREET
HOMER, AK 99603-7005
Phone: (907) 235-8101 Fax: (907) 235-0253
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RYAN SMITH
CHIEF EXECUTIVE OFFICER
Phone: (907) 235-0241
Updated
Certification Date
Feb 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTH PENINSULA HOSPITAL, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDAK1687518
MEDICAIDAK1005186
MEDICAIDAK1005653
MEDICAIDAK1701931
MEDICAIDAK1028527
MEDICAIDAK1582637
MEDICAIDAK1582664
MEDICAIDAK1687514
MEDICAIDAK1005654
MEDICAIDAK1020634
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.