| NPI | 1831404805 |
|---|---|
| Doing Business As | CENTRAL PENINSULA FAMILY PRACTICE FIREWEED |
| Entity Type | Organization |
| Authorized Contact | RICK DAVIS CEO 907-714-4723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2012-06-04 |