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SCH020024-05 CENTRAL PENINSULA HOSPITAL (Active)
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Main Details
Name
CENTRAL PENINSULA HOSPITAL
Subdivision Name
CENTRAL PENINSULA HOSPITAL - Infusion
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH020024-05
Medicare Provider Number
020024
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2020
Participating Start Date
7/1/2020
Participating Approval Date
5/11/2020
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
240 HOSPITAL PL
SOLDOTNA, AK 99669-7559
Billing Address
Central Peninsula Hospital
250 Hospital Place
Soldotna, AK 99669
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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