SITKA COMMUNITY HOSPITAL (NPI# 1770581084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770581084 |
| Entity Type | Organization |
| Organization Name | SITKA COMMUNITY HOSPITAL |
| Practice Address |
209 Moller Ave Sitka AK 99835-7142 |
| Practice Telephone | 9077473241 |
| Practice Fax Number | 9077470351 |
| Mailing Telephone | 9077473241 |
| Mailing Fax Number | 9077470351 |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2009-03-11 |
| Authorized Official Name | LEE W BENNETT (CFO) |
| Authorized Official Telephone | 9077471764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | SITKA COMMUNITY | AK | Allopathic & Osteopathic Physicians |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
SITKA COMMUNITY | AK | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | BLUE CROSS | 128 | 01 |
| AK | HS18OP | 05 | |
| AK | HS18IP | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780085381 | Sitka Community Hospital | General Acute Care Hospital | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-09-15 |
| 1104825835 | Sitka Community Hospital | Skilled Nursing Facility | 209 Moller Ave, Sitka, AK 99835-7142 | 2005-07-15 |
| 1891793048 | Sitka Community Hospital | Home Health | 209 Moller Ave, Sitka, AK 99835-7142 | 2005-07-12 |
| 1598763740 | Sitka Community Hospital | Medicare Defined Swing Bed Unit | 209 Moller Ave, Sitka, AK 99835-7142 | 2005-07-12 |
| Street Address |
209 MOLLER AVE |
| City | SITKA |
| State | AK |
| Zip Code | 99835-7142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356901961 | Southeast Alaska Regional Health Consortium | Skilled Nursing Facility | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1265092878 | Southeast Alaska Regional Health Consortium | Home Health | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1790345304 | Southeast Alaska Regional Health Consortium | Clinic/Center | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-06-17 |
| 1184281685 | Cheryl Large Lobdell | Physical Therapy Assistant | 209 Moller Ave, Sitka, AK 99835-7142 | 2019-05-21 |
| 1619341237 | Sara Bergendahl | Physical Therapist | 209 Moller Ave, Sitka, AK 99835-7142 | 2015-11-19 |
| 1780085381 | Sitka Community Hospital | General Acute Care Hospital | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-09-15 |
| 1558773978 | Gregory Siera | Registered Nurse | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-05-21 |
| 1871892786 | Donald Russell Johnson Md Phd | Dermatology | 209 Moller Ave, Sitka, AK 99835-7142 | 2011-03-17 |
| 1033316229 | George A Burnstein Jr. | Registered Nurse | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-06-29 |
| 1972729762 | Pacific Northwest Radiology LLC | Radiology | 209 Moller Ave, Sitka, AK 99835-7142 | 2007-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780085381 | Sitka Community Hospital | General Acute Care Hospital | 209 Moller Ave, Sitka, AK 99835-7142 | 2014-09-15 |
| 1487898110 | Searhc Mt Edcumbe Hospital | General Acute Care Hospital | 222 Tongass Dr, Sitka, AK 99835-9416 | 2009-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295855666 | Norton Sound Health Corp | General Acute Care Hospital | Nshc, 306 W 5th, Nome, AK 99762 | 2007-03-30 |
| 1306933643 | Arctic Slope Native Association Ltd | General Acute Care Hospital | 7000 Uula Street, Barrow, AK 99723 | 2006-10-06 |
| 1518955731 | Wrangell Medical Center | General Acute Care Hospital | 310 Bennett Street, Wrangell, AK 99929-1081 | 2005-10-11 |
| 1013905660 | Providence Health & Services Washington | General Acute Care Hospital | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2005-10-07 |
| 1871996975 | Norton Sound Health Corp Physical Teraphy | General Acute Care Hospital | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2014-10-02 |
| 1588902027 | Norton Sound Health Corp | General Acute Care Hospital | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2013-01-17 |
| 1962688309 | Bristol Bay Area Health Corporation | General Acute Care Hospital | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2008-01-16 |
| 1578758744 | Samuel Simmonds Memorial Hospital | General Acute Care Hospital | 1296 Agvik Street, Barrow, AK 99723-0029 | 2007-09-11 |
| 1326230756 | Asna-samuel Simmonds Memorial Hospital | General Acute Care Hospital | 1296 Agvik Street, Barrow, AK 99723-0029 | 2007-08-09 |
| 1831255421 | Bristol Bay Area Health Corporation | General Acute Care Hospital | 6000 Kanakanak Rd, Dillingham, AK 99576 | 2006-12-28 |
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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.