# CORDOVA COMMUNITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORDOVA COMMUNITY MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225266588
- **Authorized official:** DR. HANNAH JOANN SANDERS MD (CEO)
- **Authorized official phone:** (907) 424-8200

## Contact information

- **Practice address:** 602 CHASE AVE, CORDOVA, AK 99574-0160
- **Practice address phone:** (907) 424-8000
- **Practice address fax:** (907) 424-8116
- **Mailing address:** 602 CHASE AVE, CORDOVA, AK 99574-0160
- **Mailing address phone:** (907) 424-8000
- **Mailing address fax:** (907) 424-8116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2009
- **Last updated:** 02/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | HS07IP | — | AK |
| 05 | — | HS07LT | — | AK |
| 05 | — | HS07OP | — | AK |
| 05 | — | HS07SB | — | AK |