| Cordova Community Medical Center | |
|
602 Chase Ave Cordova AK 99574-0160 | |
| (907) 424-8000 | |
| (907) 424-8116 |
| Full Name | Cordova Community Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 602 Chase Ave, Cordova, Alaska |
| Authorized Official Name and Position | Hannah Joann Sanders (CEO) |
| Authorized Official Contact | 9074248200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordova Community Medical Center 602 Chase Ave Cordova AK 99574-0160 Ph: (907) 424-8000 | Cordova Community Medical Center 602 Chase Ave Cordova AK 99574-0160 Ph: (907) 424-8000 |
| NPI Number | 1225266588 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 02/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225266588 | NPI | - | NPPES |
| HS07LT | Medicaid | AK | |
| HS07OP | Medicaid | AK | |
| HS07SB | Medicaid | AK | |
| HS07IP | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ilanka Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Second St, Cordova, AK 99574 Phone: 907-424-3622 | |
Ilanka Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 705 2nd Street, Cordova, AK 99574 Phone: 907-424-3622 Fax: 907-424-3681 |