Organization
CORDOVA COMMUNITY HOSPITAL
Active
Other names
CORDOVA COMMUNITY MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRYANT (CEO ADMIN)
(907) 424-8000
Entity
Organization
Contact information
Practice address
602 CHASE AVE, CORDOVA, AK 99574-0160
(907) 424-8000
(907) 424-8405
Mailing address
PO BOX 160, CORDOVA, AK 99574-0160
(907) 424-8000
(907) 424-8405
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
280775
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996576
PK
—
05
—
PH002
—
AK
Enumeration date
12/11/2006
Last updated
09/14/2016
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