Cordova Community Medical Center

LBN: Cordova Community Medical Center
Cordova Community Medical Center is an health care organization with primary practice located at 602 Chase Ave , Cordova AK 99574-0160. The organization recently has 5 registered licenses in different health care specialties including Hospitals / Critical Access, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Transportation Services / Land Transport, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Hospitals / Critical Access is the primary health care specialty. Cordova Community Medical Center can be contacted via phone (907) 424-8000, or through Stavig, Denna via phone (907) 424-8228.

Contact Information

Primary practice address
602 Chase Ave Cordova AK 99574-0160
Phone: (907) 424-8000
Fax: (907) 424-8116
Website:
Map and Directions
Authorized official contact:
Name: Stavig, Denna
Phone: (907) 424-8228

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X Alaska
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Alaska
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Alaska
Transportation Services / Land Transport 3416L0300X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1215035787
LBN Legal business name Cordova Community Medical Center
DBA Doing business as Cordova Community Medical Center
Authorized official Stavig, Denna
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215035787 NPPES
Alaska MEDICAID CM6143
Alaska MEDICAID CM9745
Alaska MEDICAID CMG287
Alaska MEDICAID HS07IP
Alaska Other 0200927
Alaska MEDICAID DA4455
Alaska MEDICAID HC2871
Alaska MEDICAID HS07OP
Alaska MEDICAID MH6324
Alaska MEDICAID HS07LT
Alaska MEDICAID HS07SB

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