CORDOVA COMMUNITY HOSPITAL (NPI# 1225266588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225266588 |
| Entity Type | Organization |
| Organization Name | CORDOVA COMMUNITY HOSPITAL |
| Other Organization Name | CORDOVA COMMUNITY MEDICAL CENTER |
| Practice Address |
602 Chase Ave Cordova AK 99574-0160 |
| Practice Telephone | 9074248000 |
| Practice Fax Number | 9074248116 |
| Mailing Telephone | 9074248000 |
| Mailing Fax Number | 9074248116 |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |
| Authorized Official Name | MARY STAAB (CFO) |
| Authorized Official Telephone | 9074248000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | HS07SB | 05 | |
| AK | HS07LT | 05 | |
| AK | HS07IP | 05 | |
| AK | HS07OP | 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 |
| 1013077080 | Cordova Community Hospital | Pharmacy | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-12-11 |
| 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 |
| 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 |
| 1013077080 | Cordova Community Hospital | Pharmacy | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-12-11 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647237 | Sanitas Medical Center of Tennessee PC | Family Medicine | 2382 N Germantown Pkwy Ste 101, Cordova, TN 38016-7404 | 2020-04-08 |
| 1386150530 | Olbhealthcare, Pllc | Family Medicine | 460 Wolf View Cv, Cordova, TN 38018-7629 | 2017-12-26 |
| 1073040556 | Segue Health Partners LLC | Family Medicine | 765 Woodland Trace Ln, Cordova, TN 38018-6609 | 2017-05-16 |
| 1134534712 | Brian Iutzi | Family Medicine | Ilanka Clinic, 705 2nd Street, Cordova, AK 99574 | 2014-06-23 |
| 1215213160 | Puja K Myne | Family Medicine | 8110 Cordova Rd Ste 111, Cordova, TN 38016-0522 | 2011-10-24 |
| 1497914386 | Mamunur Rahman | Family Medicine | 584 N Germantown Pkwy, 101, Cordova, TN 38018-5211 | 2008-06-05 |
| 1285844753 | Saleem A Choudhri | Family Medicine | 408 Lillehammer Cv, Cordova, TN 38018-4375 | 2007-05-23 |
| 1063540615 | Boomi Nathan | Family Medicine | 8366 Trondheim Dr, Cordova, TN 38018-4376 | 2007-03-02 |
| 1215065867 | Monica Beth Griffin | Family Medicine | 670 N Germantown Pkwy Ste 18, Cordova, TN 38018-6287 | 2007-03-02 |
| 1467543140 | Marc J. Crupie | Family Medicine | 1025 Cordova Station Ave, Cordova, TN 38018-6318 | 2006-09-27 |
| Find all providers in CORDOVA | ||||
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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.