CORDOVA COMMUNITY HOSPITAL (NPI# 1013077080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013077080 |
| Entity Type | Organization |
| Organization Name | CORDOVA COMMUNITY HOSPITAL |
| Other Organization Name | CORDOVA COMMUNITY MEDICAL CENTER |
| Practice Address |
602 Chase Ave Cordova AK 99574-0160 |
| Mailing Address |
Po Box 160 Cordova AK 99574-0160 |
| Practice Telephone | 9074248000 |
| Practice Fax Number | 9074248405 |
| Mailing Telephone | 9074248000 |
| Mailing Fax Number | 9074248405 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | DAVID BRYANT (CEO ADMIN) |
| Authorized Official Telephone | 9074248000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
280775 | AK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1996576 | 01 | |
| AK | PH002 | 05 |
| Other Name | Type Code |
|---|---|
| CORDOVA COMMUNITY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962570903 | Cordova Community Hospital | Medicare Defined Swing Bed Unit | 602 Chase Avenue, Cordova, AK 99574-0160 | 2006-11-30 |
| 1609395128 | Cordova Community Hospital | Pharmacy | 602 Chase Ave, Cordova, AK 99574 | 2017-09-15 |
| 1225266588 | Cordova Community Hospital | Family Medicine | 602 Chase Ave, Cordova, AK 99574-0160 | 2009-06-25 |
| 1215035787 | Cordova Community Hospital | Ambulance | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-09-20 |
| Street Address |
602 CHASE AVE |
| City | CORDOVA |
| State | AK |
| Zip Code | 99574-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225062920 | Alyce L Garrity | Emergency Medicine | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-07-10 |
| 1609395128 | Cordova Community Hospital | Pharmacy | 602 Chase Ave, Cordova, AK 99574 | 2017-09-15 |
| 1861809238 | Heidi Voss | Pharmacist | 602 Chase Ave, Cordova, AK 99574 | 2014-07-17 |
| 1225266588 | Cordova Community Hospital | Family Medicine | 602 Chase Ave, Cordova, AK 99574-0160 | 2009-06-25 |
| 1700045499 | Stephenie James Saunders | Counselor | 602 Chase Ave, Cordova, AK 99574-0160 | 2008-06-06 |
| 1609907393 | Stephen Mark Sundby | Counselor | 602 Chase Ave, Cordova, AK 99574 | 2007-03-07 |
| 1215035787 | Cordova Community Hospital | Ambulance | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1497376750 | Myaliesa Bingham | Massage Therapist | 622 1st St #201, Cordova, AK 99574 | 2020-04-28 |
| 1154951408 | Richard Donald Bingham | Chiropractor | 622 1st Street, 201, Cordova, AK 99574 | 2020-01-24 |
| 1497230353 | Acupuncture & Wellness of Cordova | Acupuncturist | 520 2nd Street, Cordova, AK 99574 | 2018-09-26 |
| 1659869295 | Joan Catherine Herschleb | Acupuncturist | 520 Second Street, Cordova, AK 99574 | 2018-04-30 |
| 1134534712 | Brian Iutzi | Family Medicine | Ilanka Clinic, 705 2nd Street, Cordova, AK 99574 | 2014-06-23 |
| 1356776165 | Susan E.c. Powell | Counselor | 705 Second Street, Cordova, AK 99574 | 2013-09-11 |
| 1962679878 | City of Cordova | Ambulance | 602 Railroad Ave, Cordova, AK 99574 | 2008-05-09 |
| 1568649374 | Laurie A Phillips | Case Manager/Care Coordinator | 602 Chase, Cordova, AK 99574 | 2008-01-23 |
| 1578749412 | Kris Susan Johnston | Case Manager/Care Coordinator | 602 Chase Ave., Cordova, AK 99574 | 2008-01-10 |
| Find all providers in zip 99574 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154451714 | Providence Health System Washington | Pharmacy | 920 Compassion Cir, Anchorage, AK 99504-1645 | 2007-03-06 |
| 1578657854 | Geneva Woods Pharmacy, LLC | Pharmacy | 501 W International Airport Rd Ste 6, Anchorage, AK 99518-1106 | 2006-10-03 |
| 1578654034 | Geneva Woods Pharmacy, LLC | Pharmacy | 3674 E Country Field Cir, Ste A, Wasilla, AK 99654-5101 | 2006-09-27 |
| 1053341966 | Professional Home Iv Inc | Pharmacy | 182 S Birch St, Soldotna, AK 99669-8020 | 2006-07-04 |
| 1285267989 | Prescription Center LLC | Pharmacy | 1919 Lathrop St Ste 109, Fairbanks, AK 99701-5937 | 2020-02-20 |
| 1043859374 | Inlet Pharmacy Group Inc. | Pharmacy | 299 N Binkley St, Soldotna, AK 99669-7523 | 2020-01-03 |
| 1912416579 | Pharmacy Partners, LLC | Pharmacy | 3190 E Meridian Park Loop, Suite 110, Wasilla, AK 99654 | 2017-09-27 |
| 1619378270 | Medset Pharmacy, LLC | Pharmacy | 4101 Arctic Blvd, Suite #107, Anchorage, AK 99503-5702 | 2014-09-12 |
| 1205088747 | Northern Lights Pharmacy, Inc. | Pharmacy | 9100 Centennial Cir, Anchorage, AK 99504-1480 | 2008-10-15 |
| 1528126653 | Pioneer Homes Pharmacy | Pharmacy | 923 W 11th Ave, Anchorage, AK 99501-4306 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.