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SCH020024-00 CENTRAL PENINSULA HOSPITAL (Active)
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Main Details
Name
CENTRAL PENINSULA HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH020024-00
Medicare Provider Number
020024
Additional Details
Current Program Status
Active
Registration Date
12/1/2010
Participating Start Date
4/1/2017
Participating Approval Date
12/7/2010
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Central Peninsula Hospital
Shaun Patrick Keef, Chief Executive Officer
(907) 714-4719
Primary Contact
Central Peninsula Hospital
Amy Beth Kauffman, Pharmacy Director
(907) 714-4795
Addresses
Street Address
250 HOSPITAL PLACE
SOLDOTNA, AK 99669
Billing Address
Central Peninsula Hospital
250 Hospital Place
Soldotna, AK 99669
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participation start date 1/1/2011, Term date 7/1/2012, Reinstate 4/1/2017.
03/15/2017
April 2025
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