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Organization

SITKA COMMUNITY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEE W 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
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
SITKA COMMUNITY HOSP
AK
314000000X
Skilled Nursing Facility
SITKA COMMUNITY HOSP
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
128
BLUE CROSS
AK
05
LT0569
AK
Enumeration date
07/15/2005
Last updated
04/10/2008
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