NPIMap

Organization Active NPI

Cordova Community Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Cordova, AK
National Provider Identifier
1962570903
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
CORDOVA COMMUNITY MEDICAL CENTER
Practice address
602 Chase Avenue
Cordova, AK 99574-0160
Phone
(907) 424-8000
Fax
(907) 424-8116
NPI assigned
Nov 30, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Hannah Joann Sanders, MD
Title
Ceo
Phone
(907) 424-8200

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Cordova Community Hospi (4 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X AK Primary

Addresses

NPPES NPI Registry

Primary practice location

602 Chase Avenue
Cordova, AK 99574-0160

Mailing address

PO Box 160
Cordova, AK 99574

Other names 1

NPPES NPI Registry
  • CORDOVA COMMUNITY MEDICAL CENTER Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2021.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1962570903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "CORDOVA",
            "state": "AK",
            "postal_code": "99574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CHASE AVENUE",
            "city": "CORDOVA",
            "state": "AK",
            "postal_code": "995740160",
            "telephone_number": "907-424-8000",
            "fax_number": "907-424-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOVA COMMUNITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-424-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORDOVA COMMUNITY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CORDOVA COMMUNITY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordova, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.