Entity Number 50675D
Status Good Standing
NameCENTRAL PENINSULA GENERAL HOSPITAL, INC.
Date of registration 07 Dec 1992 (32 years ago) 07 Dec 1992
Legal typeNonprofit Corporation
Place of FormationALASKA
Address 250 HOSPITAL PLACE, SOLDOTNA, AK 99669
Address ZIP code 99669
Line of Business
62 Health Care and Social AssistanceNAICS
622110 GENERAL MEDICAL AND SURGICAL HOSPITALSYER6XJDDTND9
2024-10-23
250 HOSPITAL PL, SOLDOTNA, AK, 99669, 7559, USA
250 HOSPITAL PL, SOLDOTNA, AK, 99669, 7559, USA
Business Information
| URL | http://www.cpgh.org |
| Division Name | CENTRAL PENINSULA GENERAL HOSPITAL, INC. |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2023-10-26 |
| Initial Registration Date | 2004-06-17 |
| Entity Start Date | 1971-06-21 |
| Fiscal Year End Close Date | Jun 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHAEL J HAGGERTY |
| Role | CFO |
| Address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669, 7559, USA |
| Title | ALTERNATE POC |
| Name | NICKI MCKINNEY |
| Role | CONTROLLER |
| Address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669, 7559, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHAEL J HAGGERTY |
| Role | CFO |
| Address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669, 7559, USA |
| Title | ALTERNATE POC |
| Name | SHAUN KEEF |
| Role | CEO |
| Address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669, 7559, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHAEL J HAGGERTY |
| Role | CFO |
| Address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669, 7559, USA |
| Title | ALTERNATE POC |
| Name | NICKI MCKINNEY |
| Role | CONTROLLER |
| Address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669, 7559, USA |
CENTRAL PENINSULA GENERAL HOSPITAL LIFE, AD&D, DEPENDENT LIFE, SHORT-TERM DISABILITY
2012
920077523
2013-12-18
CENTRAL PENINSULA GENERAL HOSPITAL
583
| Three-digit plan number (PN) | 503 |
| Effective date of plan | 1994-07-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9077144404 |
| Plan sponsor’s mailing address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Plan sponsor’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
Number of participants as of the end of the plan year
| Active participants | 620 |
Signature of
| Role | Plan administrator |
| Date | 2013-12-17 |
| Name of individual signing | DEBI HONER |
| Valid signature | Filed with authorized/valid electronic signature |
CENTRAL PENINSULA GENERAL HOSPITAL FLEXIBLE BENEFIT PLAN
2012
920077523
2013-12-18
CENTRAL PENINSULA GENERAL HOSPITAL
146
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1989-11-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9077144404 |
| Plan sponsor’s mailing address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Plan sponsor’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
Plan administrator’s name and address
| Administrator’s EIN | 920077523 |
| Plan administrator’s name | CENTRAL PENINSULA GENERAL HOSPITAL |
| Plan administrator’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Administrator’s telephone number | 9077144404 |
Number of participants as of the end of the plan year
| Active participants | 0 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2013-12-17 |
| Name of individual signing | DEBI HONER |
| Valid signature | Filed with authorized/valid electronic signature |
CENTRAL PENINSULA GENERAL HOSPITAL LIFE, AD&D, DEPENDENT LIFE, SHORT-TERM DISABILITY
2011
920077523
2013-03-05
CENTRAL PENINSULA GENERAL HOSPITAL
588
| Three-digit plan number (PN) | 503 |
| Effective date of plan | 1994-07-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9077144404 |
| Plan sponsor’s mailing address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Plan sponsor’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
Plan administrator’s name and address
| Administrator’s EIN | 920077523 |
| Plan administrator’s name | CENTRAL PENINSULA GENERAL HOSPITAL |
| Plan administrator’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Administrator’s telephone number | 9077144404 |
Number of participants as of the end of the plan year
| Active participants | 583 |
Signature of
| Role | Plan administrator |
| Date | 2013-03-05 |
| Name of individual signing | DEBI HONER |
| Valid signature | Filed with authorized/valid electronic signature |
CENTRAL PENINSULA GENERAL HOSPITAL FLEXIBLE BENEFIT PLAN
2011
920077523
2013-03-05
CENTRAL PENINSULA GENERAL HOSPITAL
169
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1989-11-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9077144404 |
| Plan sponsor’s mailing address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Plan sponsor’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
Plan administrator’s name and address
| Administrator’s EIN | 920077523 |
| Plan administrator’s name | CENTRAL PENINSULA GENERAL HOSPITAL |
| Plan administrator’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Administrator’s telephone number | 9077144404 |
Number of participants as of the end of the plan year
| Active participants | 146 |
Signature of
| Role | Plan administrator |
| Date | 2013-03-05 |
| Name of individual signing | DEBI HONER |
| Valid signature | Filed with authorized/valid electronic signature |
CENTRAL PENINSULA GENERAL HOSPITAL FLEXIBLE BENEFIT PLAN
2010
920077523
2012-01-16
CENTRAL PENINSULA GENERAL HOSPITAL
134
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1989-11-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9077144404 |
| Plan sponsor’s mailing address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Plan sponsor’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
Plan administrator’s name and address
| Administrator’s EIN | 920077523 |
| Plan administrator’s name | CENTRAL PENINSULA GENERAL HOSPITAL |
| Plan administrator’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Administrator’s telephone number | 9077144404 |
Number of participants as of the end of the plan year
| Active participants | 169 |
Signature of
| Role | Plan administrator |
| Date | 2012-01-16 |
| Name of individual signing | DEBI HONER |
| Valid signature | Filed with authorized/valid electronic signature |
CENTRAL PENINSULA GENERAL HOSPITAL LIFE, AD&D, DEPENDENT LIFE, SHORT-TERM DISABILITY
2010
920077523
2012-01-23
CENTRAL PENINSULA GENERAL HOSPITAL
551
| Three-digit plan number (PN) | 503 |
| Effective date of plan | 1994-07-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9077144404 |
| Plan sponsor’s mailing address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Plan sponsor’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
Plan administrator’s name and address
| Administrator’s EIN | 920077523 |
| Plan administrator’s name | CENTRAL PENINSULA GENERAL HOSPITAL |
| Plan administrator’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Administrator’s telephone number | 9077144404 |
Number of participants as of the end of the plan year
| Active participants | 588 |
Signature of
| Role | Plan administrator |
| Date | 2012-01-23 |
| Name of individual signing | DEBI HONER |
| Valid signature | Filed with authorized/valid electronic signature |
CENTRAL PENINSULA GENERAL HOSPITAL LIFE, AD&D, DEPENDENT LIFE, SHORT-TERM DISABILITY
2009
920077523
2010-12-15
CENTRAL PENINSULA GENERAL HOSPITAL
533
| Three-digit plan number (PN) | 503 |
| Effective date of plan | 1994-07-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9077144404 |
| Plan sponsor’s mailing address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Plan sponsor’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
Plan administrator’s name and address
| Administrator’s EIN | 920077523 |
| Plan administrator’s name | CENTRAL PENINSULA GENERAL HOSPITAL |
| Plan administrator’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Administrator’s telephone number | 9077144404 |
Number of participants as of the end of the plan year
| Active participants | 551 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-12-15 |
| Name of individual signing | DEBI HONER |
| Valid signature | Filed with authorized/valid electronic signature |
CENTRAL PENINSULA GENERAL HOSPITAL FLEXIBLE BENEFIT PLAN
2009
920077523
2010-12-15
CENTRAL PENINSULA GENERAL HOSPITAL
158
| Three-digit plan number (PN) | 501 |
| Effective date of plan | 1989-11-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 9077144404 |
| Plan sponsor’s mailing address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Plan sponsor’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
Plan administrator’s name and address
| Administrator’s EIN | 920077523 |
| Plan administrator’s name | CENTRAL PENINSULA GENERAL HOSPITAL |
| Plan administrator’s address | 250 HOSPITAL PLACE, SOLDOTNA, AK, 99669 |
| Administrator’s telephone number | 9077144404 |
Number of participants as of the end of the plan year
| Active participants | 134 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-12-15 |
| Name of individual signing | DEBI HONER |
| Valid signature | Filed with authorized/valid electronic signature |
Steve Horn
Director
Silverio Mattero
Director
Jessie Kincaid
Director
Paul Ostrander
Director
Max Best
Director
Trena Richardson
Director
Carrie Couey
Director
Michael Reyes
Director
David Cross
Director
Stephanie Queen
Director
Steve Horn
President
Paul Ostrander
Vice President
Carrie Couey
Secretary
Carrie Couey
Treasurer
TERRI NETTLES
Registered Agent
Business License
227830
Active
1996-06-18
2022-12-02
2024-12-31
LOB: 62 - Health Care and Social Assistance, NAICS: 622110 - GENERAL MEDICAL AND SURGICAL HOSPITALS
CONT_IDV_VA26012A0100_3600
IDV
VA26012A0100
Department of Veterans Affairs
2012-10-01
Description
| Title | NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q401: MEDICAL- NURSING |
Recipient Details
| Recipient | CENTRAL PENINSULA GENERAL HOSPITAL INC |
| UEI | YER6XJDDTND9 |
| Legacy DUNS | 145406034 |
| Recipient Address | UNITED STATES, 250 HOSPITAL PL, SOLDOTNA, 996696999 |
Date of last update: 26 Aug 2024
Sources
