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

About CORDOVA COMMUNITY HOSPITAL

Cordova Community Hospital is a provider established in Cordova, Alaska operating as a Pharmacy with a focus in long term care pharmacy . The NPI number of Cordova Community Hospital is 1013077080 and was assigned on December 2006. The practitioner's primary taxonomy code is 3336L0003X with license number 280775 (AK). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Cordova Community Medical Center. The authorized official of this NPI record is David Bryant (Ceo Admin)

NPI
1013077080
Provider NameCORDOVA COMMUNITY HOSPITAL
Location Address602 CHASE AVE CORDOVA, AK 99574
Location Phone(907) 424-8000
Mailing AddressPO BOX 160 CORDOVA, AK 99574
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameCORDOVA COMMUNITY MEDICAL CENTER
Other Name TypeDoing Business As (3)
Enumeration Date12-11-2006
Last Update Date09-14-2016



The CLIA number of Cordova Community Hospital is 02D0641826 registered as a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Cordova Community Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code3336L0003X
ClassificationPharmacy
TypeSuppliers
SpecializationLong Term Care Pharmacy
License No.280775
License StateAK
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

CORDOVA COMMUNITY HOSPITAL
602 CHASE AVE
CORDOVA, AK
ZIP 99574
Phone: (907) 424-8000
Fax: (907) 424-8405

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Mailing Address

CORDOVA COMMUNITY HOSPITAL
PO BOX 160
CORDOVA, AK
ZIP 99574
Phone: (907) 424-8000
Fax: (907) 424-8405


Location Map

Authorized Official

The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Name DAVID BRYANT
Authorized Official TitleCEO ADMIN
Authorized Official Phone(907) 424-8000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013077080 is:

CLIA Number02D0641826
Facility TypeHOSPITAL
Certificate TypeCertificate of Compliance

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
PH002MEDICAID (05)AK
1996576OTHER (01)PK

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013077080
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230714016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 4 + 0 + 1 + 6 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013077080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225062920DR. ALYCE L GARRITY MD
Individual
Emergency Medicine602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000
1609907393DR. STEPHEN MARK SUNDBY PH.D., LPC, CDC I
Individual
Counselor602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8300
1700045499 STEPHENIE JAMES SAUNDERS
Individual
Counselor (Professional)602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8300
1861809238 HEIDI VOSS PHARMD
Individual
Pharmacist602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8254
1609395128CORDOVA COMMUNITY MEDICAL CENTER
Organization
Pharmacy (Community/Retail Pharmacy)602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8017
1225266588CORDOVA COMMUNITY MEDICAL CENTER
Organization
Family Medicine602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000
1659014736 BRITTANY VANDERWERF DPT
Individual
Physical Therapist602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000
1215035787CORDOVA COMMUNITY MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)602 CHASE AVE
CORDOVA, AK 99574
(907) 424-8000

Frequently Asked Questions

What is CORDOVA COMMUNITY HOSPITAL NPI number?

The NPI number assigned to CORDOVA COMMUNITY HOSPITAL is 1013077080, registered as an "organization" on December 11, 2006

Where is CORDOVA COMMUNITY HOSPITAL located?

The provider is located at 602 Chase Ave Cordova, Ak 99574 and the phone number is (907) 424-8000

What kind of medical provider is CORDOVA COMMUNITY HOSPITAL?

This medical organization specializes in Pharmacy with a focus in Long Term Care Pharmacy

What insurance does CORDOVA COMMUNITY HOSPITAL accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

What is CORDOVA COMMUNITY HOSPITAL CLIA number?

The provider's CLIA number is 02D0641826 for a "hospital" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

How do I update my NPI information?

The NPI record of CORDOVA COMMUNITY HOSPITAL was last updated on December 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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