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Organization
SITKA COMMUNITY HOSPITAL
Active
Organization
SITKA COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE BENNETT (CFO)
(907) 747-1764
Entity
Organization
Contact information
Practice address
209 MOLLER AVE, SITKA, AK 99835-7142
(907) 747-3241
(907) 747-0351
Mailing address
209 MOLLER AVE, SITKA, AK 99835-7142
(907) 747-3241
(907) 747-0351
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021303
MEDICARE PART A PROVIDER #
AK
05
—
1005674
—
AK
05
—
1020625
—
AK
01
—
K0000ZGBJW
MEDICARE PART B PROVIDER NUMBER
AK
Enumeration date
09/15/2014
Last updated
09/15/2014
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