CENTRAL PENINSULA GENERAL HOSPITAL, INC
NPI 1679179204
Community/Behavioral Health in Soldotna, AK

Q: What is Central Peninsula General Hospital, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since December 09, 2020

362 TYEE ST, SOLDOTNA, AK 99669(907) 714-4521(907) 260-4063 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Central Peninsula General Hospital, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL PENINSULA GENERAL HOSPITAL, INC (NPI 1679179204), doing business as Diamond Willow Sober Living, is a healthcare organization registered as a community/behavioral health in Soldotna, Alaska and active in the NPI registry since December 2020. The organization lists Richard Lane Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679179204

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCENTRAL PENINSULA GENERAL HOSPITAL, INC

Location Address362 TYEE STSoldotna, AK 99669-7631

Mailing Address250 Hospital PlSoldotna, AK 99669-7559 · (907) 714-4502 · Fax (907) 714-4696

Phone(907) 714-4521

Fax(907) 260-4063

Organization SubpartYes

Authorized OfficialRichard Lane DavisCeo · (907) 714-4723

Enumeration DateDecember 9, 2020

NPPES CertifiedDecember 7, 2020

✔ NPI 1679179204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

362 TYEE ST, Soldotna, AK 99669

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Other Names 1

Doing Business AsDiamond Willow Sober Living

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBBIE ONTENETTE WHITEHEAD

Peer Specialist