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
207Q00000X
Family Medicine Physician
SITKA COMMUNITY HOSP
AK
282NC0060X
Critical Access Hospital
Primary
SITKA COMMUNITY HOSP
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128
BLUE CROSS
AK
05
—
HS18IP
—
AK
05
—
HS18OP
—
AK
Enumeration date
07/11/2005
Last updated
03/11/2009
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