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CENTRAL PENINSULA FAMILY PRACTICE
NPI 1770723967
General Acute Care Hospital - Rural in Kenai, AK

Active since February 27, 2009CLIA 02D1005759 · Waiver
506 LAKE ST, KENAI, AK 99611(907) 714-4030(907) 335-0064 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2020, Jan 12, 2017 (2 updates tracked since 2017).

About Central Peninsula Family Practice NPPES

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

CENTRAL PENINSULA FAMILY PRACTICE (NPI 1770723967) is a healthcare organization registered as a rural in Kenai, Alaska and active in the NPI registry since February 2009. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Richard Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770723967
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NameCENTRAL PENINSULA GENERAL HOSPITAL INC
Location Address506 LAKE STKenai, AK 99611-6937
Mailing Address506 Lake StKenai, AK 99611-6937 · (907) 714-4030 · Fax (907) 335-0064
Phone(907) 714-4030
Fax(907) 335-0064
Organization SubpartNo
Authorized OfficialRichard DavisCeo · (907) 714-4723
Enumeration DateFebruary 27, 2009
Last NPPES UpdateDecember 7, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1770723967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
License✔ Licensed in AK · 926294
Also ListedPhysician AssistantTaxonomy 363A00000X · License 926294 (AK)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 926294 (AK)
506 LAKE ST, Kenai, AK 99611
Open in Google Maps ↗

Other Names 1

Doing Business AsCentral Peninsula Family Practice

Other Identifiers 2

Other0004AK · Tricare
Other155AK · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D1005759

Central Peninsula Family Practice-Kenai · Kenai, AK
Active · expires Sep 30, 2027
CLIA Number02D1005759
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorChristine Babcock
Laboratory Phone(907) 714-4025
Laboratory LocationCentral Peninsula Family Practice-Kenai506 Lake Street, Kenai, AK 99611
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. JAMES ROBERT BAUMAN IV DO
Family Medicine
506 LAKE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 714-4111
CHRISTINE M BABCOCK A.N.P.
Nurse Practitioner
506 LAKE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 714-4025
JEFFERSON WASSON DO
Family Medicine
506 LAKE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 714-4025
LINDA MAY PERRY LCSW
Counselor
506 LAKE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 283-7501
MICHAEL K VISICK MD
Pediatrics
506 LAKE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 714-4111
JESSICA LAZAR MD
Family Medicine
506 LAKE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 714-4025
HEATHER ANN HAYS FNP
Nurse Practitioner (Family)
506 LAKE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 714-4404
DR. KEVIN ARTHUR RULLMAN DO
Family Medicine
506 LAKE ST
KENAI, AK 99611
Kenai Peninsula Borough (907) 714-4025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Peninsula General Hospital Inc's NPI number?

The NPI number for Central Peninsula General Hospital Inc is 1770723967. It was assigned to this organization in the NPPES registry on February 27, 2009. The provider is doing business as Central Peninsula Family Practice.

Where is Central Peninsula General Hospital Inc located?

Central Peninsula General Hospital Inc is located at 506 Lake St, Kenai, AK 99611. The listed phone number is (907) 714-4030.

What is Central Peninsula General Hospital Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Does Central Peninsula General Hospital Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D1005759) is associated with this NPI, valid through September 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Peninsula General Hospital Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Central Peninsula General Hospital Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Peninsula General Hospital Inc was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.