CORDOVA COMMUNITY HOSPITAL (NPI# 1962570903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962570903 |
| Entity Type | Organization |
| Organization Name | CORDOVA COMMUNITY HOSPITAL |
| Other Organization Name | CORDOVA COMMUNITY MEDICAL CENTER |
| Practice Address |
602 Chase Avenue Cordova AK 99574-0160 |
| Mailing Address |
Po Box 160 Cordova AK 99574 |
| Practice Telephone | 9074248000 |
| Practice Fax Number | 9074248116 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-07-15 |
| Authorized Official Name | MARY STAAB (CFO) |
| Authorized Official Telephone | 9074248221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | AK | Hospital Units |
| Other Name | Type Code |
|---|---|
| CORDOVA COMMUNITY MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 AVENUE |
| City | CORDOVA |
| State | AK |
| Zip Code | 99574-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503444 | Elizabeth Collins | Case Manager/Care Coordinator | 602 Chase Avenue, Cordova, AK 99574 | 2018-10-04 |
| 1114207297 | Sandra Cleveland Aspen | Registered Nurse | 602 Chase Avenue, Cordova, AK 99574-1092 | 2011-08-22 |
| 1306011473 | Pacific Northwest Radiology LLC | Radiology | 602 Chase Avenue, Cordova, AK 99574-0160 | 2008-04-29 |
| 1033329560 | David R. Bryant | Social Worker | 602 Chase Avenue, Cordova, AK 99574-1092 | 2007-05-23 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1649340217 | City of Seward | Medicare Defined Swing Bed Unit | 417 1st Ave, Seward, AK 99664-0365 | 2006-11-09 |
| 1356829279 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 310 Bennett St, Wrangell, AK 99929 | 2018-08-02 |
| 1528544822 | Peacehealth Ketchikan Medical Center | Medicare Defined Swing Bed Unit | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2018-07-19 |
| 1184850893 | Norton Sound Health Corporation | Medicare Defined Swing Bed Unit | 1000 Greg Kruschek Ave, Nome, AK 99762 | 2009-06-09 |
| 1093968372 | South Peninsula Hospital, Inc | Medicare Defined Swing Bed Unit | 4300 Bartlett St, Homer, AK 99603-7005 | 2008-10-30 |
| 1609066828 | South East Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-07-25 |
| 1245352848 | Norton Sound Health Corp | Medicare Defined Swing Bed Unit | 306 W 5th, Nome, AK 99762 | 2007-04-04 |
| 1770645202 | Bristol Bay Area Health Corporation | Medicare Defined Swing Bed Unit | 6000 Kanakanak Rd, Dillingham, AK 99576-0130 | 2006-12-14 |
| 1336247824 | City of Valdez | Medicare Defined Swing Bed Unit | 911 Meals Avenue, Valdez, AK 99686-0550 | 2006-09-20 |
| 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.