Organization
CORDOVA COMMUNITY HOSPITAL
Active
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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