Sitka Community Hospital

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

SITKA COMMUNITY HOSP Issued in AK

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 12, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lee W Bennett

Title

Ceo

Phone

(907) 747-1764

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• City of Sitka

  • Land Ambulance
  • Sitka, AK
  • NPI 1790814291

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598763740",
    "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": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-747-1764"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AK",
            "license": "SITKA COMMUNITY HOSP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "128",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS18SB",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clints Scott Simic, NCAC1, CDCSS
• Adam Simon
• Travis Leroy Simpkins, RRT
• Carrie Linn Sipple, CCC-SLP
• Sitka Community Hospital
• Sitka Community Hospital
• Sitka Community Hospital
• Sitka Community Hospital
• Sitka Counseling & Prevention Services, Inc.
• Sitka Counseling & Prevention Services, Inc.

• Medicare Defined Swing Bed Hospital Unit in Sitka, AK
• Providers in Sitka, AK by specialty
• Medicare Defined Swing Bed Hospital Unit in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.