CENTRAL PENINSULA INTERNAL MEDICINE ASSOCIATES – NPI #1639523418
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

CENTRAL PENINSULA INTERNAL MEDICINE ASSOCIATES is a provider located in SOLDOTNA, AK. NPPES has assigned the NPI number 1639523418 to CENTRAL PENINSULA INTERNAL MEDICINE ASSOCIATES on April 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRAL PENINSULA INTERNAL MEDICINE ASSOCIATES” is a dba name, the actual legal business name for this organization is CENTRAL PENINSULA GENERAL HOSPITAL, INC. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 6 years ago on Dec 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 CENTRAL PENINSULA INTERNAL MEDICINE ASSOCIATES below.

NPI Profile for
CENTRAL PENINSULA GENERAL HOSPITAL, INC

NPI Number
1639523418
Enumeration Date

(more than 10 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
CENTRAL PENINSULA GENERAL HOSPITAL, INC
Doing Business As (dba): CENTRAL PENINSULA INTERNAL MEDICINE ASSOCIATES
Primary location
247 N FIREWEED ST STE A
SOLDOTNA, AK 99669-7593
Phone: (907) 262-8597 Fax: (907) 262-6516
Mailing address
250 HOSPITAL PL
SOLDOTNA, AK 99669-7559
Phone: (907) 714-5640 Fax: (907) 714-5205
Organization Subpart
Yes - CENTRAL PENINSULA INTERNAL MEDICINE ASSOCIATES is subpart of another organization.
Authorized Official
RICHARD DAVIS
CEO
Phone: (907) 714-4723
Updated
Certification Date
Dec 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.

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.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 AK 1034006

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
cc_acp_cp_internal_medicine_clinical_support_staff1225694@ak.providencedirect.org
Endpoint type
Direct Messaging Address
Endpoint Description
CENTRAL PENINSULA INTERNAL MEDICINE CLINICAL SUPPORT STAFF
Content Type
Affiliation
N
Endpoint Location
247 N FIREWEED ST STE A,
SOLDOTNA, AK 77025-1669