Active NPI
Sitka Community Hospital
- Nursing Facility/Intermediate Care Facility
- Sitka, AK
National Provider Identifier
1104825835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- SITKA COMMUNITY HOSP
- Legal business name
- SITKA COMMUNITY HOSPITAL
- Practice address
- 209 Moller Ave
Sitka, AK 99835-7142 - Phone
- (907) 747-3241
- Fax
- (907) 747-0351
- NPI assigned
- Jul 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee W Bennett
- Title
- Cfo
- Phone
- (907) 747-1764
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | SITKA COMMUNITY HOSP | AK | Primary |
| Skilled Nursing Facility | 314000000X | SITKA COMMUNITY HOSP | AK |
Addresses
Primary practice location
209 Moller Ave
Sitka, AK 99835-7142
Mailing address
209 Moller Ave
Sitka, AK 99835-7142
Phone (907) 747-3241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LT0569 | Medicaid | AK | |
| 128 | Other | AK | BLUE CROSS |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207785600000",
"number": "1104825835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MOLLER AVE",
"city": "SITKA",
"state": "AK",
"postal_code": "998357142",
"telephone_number": "907-747-3241",
"fax_number": "907-747-0351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MOLLER AVE",
"city": "SITKA",
"state": "AK",
"postal_code": "998357142",
"telephone_number": "907-747-3241",
"fax_number": "907-747-0351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SITKA COMMUNITY HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-15",
"last_updated": "2008-04-10",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "907-747-1764"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "AK",
"license": "SITKA COMMUNITY HOSP",
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AK",
"license": "SITKA COMMUNITY HOSP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LT0569",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "128",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.