City of Cordova – Land Ambulance in Cordova, AK

Key facts

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Cordova Community Medical Center Critical Access Hospital · Cordova, AK · NPI 1215035787

CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST

Organizations listed as members of this organization in the National Provider Directory.

Cordova Community Medical Center Critical Access Hospital · Cordova, AK · NPI 1215035787

NPD member Member Of

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facility	Type	Role	Since
Cordova Community Hospital Cordova, AK · CCN 021307	Hospital	5% Or Greater Direct Ownership Interest (100%)	Sep 20, 2006
Cordova Community Hospital Cordova, AK · CCN 02Z307	Hospital	5% Or Greater Direct Ownership Interest (100%)	Sep 20, 2006

Enrollment ID	State	Provider type	PAC ID	Details
O20080606000677	AK	Part B Supplier - Ambulance Service Supplier	4183794878	Practice locations: Cordova, AK

Specialty (taxonomy)	Code	License	State	Primary
Land Ambulance	3416L0300X	6000	AK	Yes

602 Railroad Ave
Cordova, AK 99574

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.