Organization · Type 2 NPI

Cordova Community Medical Center

Critical Access Hospital · Cordova, AK

NPI number 1215035787 Active

Practice location

602 Chase Ave
Cordova, AK 99574-0160

Call (907) 424-8000 Map

Fax (907) 424-8116

Mailing address

PO Box 160, 602 Chase Ave
Cordova, AK 99574-0160

Specialties and licenses

Taxonomy	Code	License
Critical Access Hospital Primary	282NC0060X	None listed
Nursing Facility/Intermediate Care Facility	313M00000X	None listed
Skilled Nursing Facility	314000000X	None listed
Land Ambulance	3416L0300X	None listed
Child Intellectual and/or Developmental Disabilities Respite Care	385HR2060X	None listed

Critical Access Hospital: Definition to come.

12 other providers at this address

NPI record

NPI: 1215035787
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Oct 4, 2022
Status: Active

Other names

<unavail>
Cordova Community Medical Center · doing business as
Cordova Community Medical Center · doing business as

Authorized official

Denna Stavig
Director of Finance
(907) 424-8228

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215035787

Cordova Community Medical Center's National Provider Identifier is 1215035787, issued on Sep 20, 2006. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Cordova, AK. The record was last updated on Oct 4, 2022.