CENTRAL PENINSULA FAMILY PRACTICE
NPI 1770723967
General Acute Care Hospital - Rural in Kenai, AK
NPI Status: Active since February 27, 2009
Contact Information
506 LAKE ST
KENAI, AK
ZIP 99611
Phone: (907) 714-4030
Fax: (907) 335-0064
- Organization
- General Acute Care Hospital
- Rural
- Accepts Insurance
- CLIA Number: 02D1005759
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-30-2027
About CENTRAL PENINSULA FAMILY PRACTICE
This page provides the complete NPI Profile along with additional information for Central Peninsula Family Practice, a provider established in Kenai, Alaska operating as a General Acute Care Hospital, focusing in rural . The healthcare provider is registered in the NPI registry with number 1770723967 assigned on February 2009. The practitioner's primary taxonomy code is 282NR1301X with license number 926294 (AK). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Central Peninsula Family Practice. The authorized official of this NPI record is Richard Davis (Ceo)
- NPI
- 1770723967
- Provider Legal Name
- CENTRAL PENINSULA GENERAL HOSPITAL INC
- Other Organization Name
- CENTRAL PENINSULA FAMILY PRACTICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 506 LAKE ST KENAI, AK 99611
- Location Phone
- (907) 714-4030
- Location Fax
- (907) 335-0064
- Mailing Address
- 506 LAKE ST KENAI, AK 99611
- Mailing Phone
- (907) 714-4030
- Mailing Fax
- (907) 335-0064
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2009
- Last Update Date
- 12-07-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Acute Care Hospital Rural
- Taxonomy Code
- 282NR1301X
- Type
- Hospitals
- License No.
- 926294
- License State
- AK
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 926294 (AK) |
| 2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 926294 (AK) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0004 | OTHER (01) | AK | TRICARE |
| 155 | OTHER (01) | AK | BLUE CROSS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 02D1005759
- Facility Type
- Physician Office
- Certificate Effective Date
- October 01, 2025
- Certificate Expiration Date
- September 30, 2027
- Laboratory Director
- CHRISTINE BABCOCK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Central Peninsula Family Practice to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1770723967, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770723967, enumerated as an "organization" on February 27, 2009.
The provider is located at 506 LAKE ST KENAI, AK 99611 and the phone number is (907) 714-4030.
General Acute Care Hospital with taxonomy code 282NR1301X and a focus in Rural.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Tricare,. Please consult your insurance carrier or call the provider to verify.
