1. Home
  2. Directory
  3. Alaska
  4. Cordova
  5. Pharmacy
  6. NPI Profile

CORDOVA COMMUNITY MEDICAL CENTER
NPI 1013077080
Pharmacy - Long Term Care Pharmacy in Cordova, AK

Active since December 11, 2006CLIA 02D0641826 · Certificate of Compliance
602 CHASE AVE, CORDOVA, AK 99574(907) 424-8000(907) 424-8405 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cordova Community Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORDOVA COMMUNITY MEDICAL CENTER (NPI 1013077080) is a healthcare organization registered as a long term care pharmacy in Cordova, Alaska and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 2, 2027 and lists David Bryant, Ceo Admin, as its authorized official.

NPPES Registry Identity

NPI1013077080
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCORDOVA COMMUNITY HOSPITAL
Location Address602 CHASE AVECordova, AK 99574-0160
Mailing AddressPo Box 160Cordova, AK 99574-0160 · (907) 424-8000 · Fax (907) 424-8405
Phone(907) 424-8000
Fax(907) 424-8405
Organization SubpartNo
Authorized OfficialDavid BryantCeo Admin · (907) 424-8000
Enumeration DateDecember 11, 2006
Last NPPES UpdateSeptember 14, 2016
✔ NPI 1013077080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in AK · 280775
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
602 CHASE AVE, Cordova, AK 99574
Open in Google Maps ↗

Other Names 1

Doing Business AsCordova Community Medical Center

Other Identifiers 2

MedicaidPH002AK
Other1996576Pk

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 02D0641826

Cordova Community Medical Center · Cordova, AK
Active · expires Mar 2, 2027
CLIA Number02D0641826
Laboratory TypeHospital
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorMs. Carmen G. Nourie
Laboratory Phone(907) 424-8232
Laboratory LocationCordova Community Medical Center602 Chase Avenue, Cordova, AK 99574
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADELINE KARRIE LADD
Case Manager/Care Coordinator
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
CORDOVA COMMUNITY MEDICAL CENTER
General Acute Care Hospital (Critical Access)
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
DR. ALYCE L GARRITY MD
Emergency Medicine
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
CORDOVA COMMUNITY MEDICAL CENTER
Family Medicine
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
OLIVIA MORENO
Family Medicine
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000
CORDOVA COMMUNITY MEDICAL CENTER
Pharmacy (Community/Retail Pharmacy)
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8017
DR. STEPHEN MARK SUNDBY PH.D., LPC, CDC I
Counselor
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8300
BRITTANY VANDERWERF DPT
Physical Therapist
602 CHASE AVE
CORDOVA, AK 99574
Chugach (907) 424-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cordova Community Hospital's NPI number?

The NPI number for Cordova Community Hospital is 1013077080. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Cordova Community Medical Center.

Where is Cordova Community Hospital located?

Cordova Community Hospital is located at 602 Chase Ave, Cordova, AK 99574. The listed phone number is (907) 424-8000.

What is Cordova Community Hospital's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Cordova Community Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 02D0641826) is associated with this NPI, valid through March 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cordova Community Hospital was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.