CORDOVA COMMUNITY MEDICAL CENTER
NPI 1215035787
General Acute Care Hospital - Critical Access in Cordova, AK

Active since September 20, 2006
602 CHASE AVE, CORDOVA, AK 99574(907) 424-8000(907) 424-8116 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2022, Jun 2, 2021 (2 updates tracked since 2021).

About Cordova Community Medical Center NPPES

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

CORDOVA COMMUNITY MEDICAL CENTER (NPI 1215035787) is a healthcare organization registered as a critical access in Cordova, Alaska and active in the NPI registry since September 2006. The organization lists Denna Stavig, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1215035787
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameCORDOVA COMMUNITY MEDICAL CENTER
Location Address602 CHASE AVECordova, AK 99574-0160
Mailing AddressPo Box 160, 602 Chase AveCordova, AK 99574-0160 · (907) 424-8000 · Fax (907) 424-8116
Fax(907) 424-8116
Organization SubpartNo
Authorized OfficialDenna StavigDirector Of Finance · (907) 424-8228
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1215035787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Taxonomy Code282NC0060X
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
Also ListedAmbulance · Land TransportTaxonomy 3416L0300X
602 CHASE AVE, Cordova, AK 99574

Other Names 1

Doing Business AsCordova Community Medical Center

Other Identifiers 11

MedicaidCM6143AK
MedicaidCM9745AK
MedicaidCMG287AK
MedicaidHS07IPAK
Other0200927AK · Ncpdp Pharm #
MedicaidDA4455AK
MedicaidHC2871AK
MedicaidHS07OPAK
MedicaidMH6324AK
MedicaidHS07LTAK
MedicaidHS07SBAK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cordova Community Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlaskaEnrollment IDO20120311000001Part A · Critical Access HospitalDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

49

Medicare enrollment records show 49 clinicians reassign Medicare billing to Cordova Community Medical Center, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Diagnostic Radiology26
Family Practice11
Nurse Practitioner4
Clinical Social Worker2
Emergency Medicine2
Neurology2
Interventional Radiology1
Psychiatry1

Nearest to this location (20)

See all 49
Clinical Social Worker
NPI 1700267143
602 CHASE AVE
Cordova, AK 99574
(907) 424-8000
✔ PECOSSame address
Nurse Practitioner
NPI 1588401434
602 CHASE AVE
Cordova, AK 99574
(907) 424-8000
✔ PECOSSame address
Family Practice
NPI 1093036071
602 CHASE PO BOX 160
Cordova, AK 99574
(907) 424-8200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1912340597
602 CHASE AVE
Cordova, AK 99547
(907) 424-8200
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1962898080
705 2ND STREET
Cordova, AK 99574
(907) 424-3622
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1134534712
ILANKA CLINIC, 705 2ND STREET
Cordova, AK 99574
(907) 424-3622
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1376608489
PO BOX 160
Cordova, AK 99574
(907) 424-8000
✔ PECOS✔ Accepts Medicare0.4 mi
Diagnostic Radiology
NPI 1992923155
2280 S WOODWORTH LOOP
Palmer, AK 99645
(907) 746-4646
✔ PECOS✔ Accepts Medicare137 mi
Diagnostic Radiology
NPI 1407198823
5955 ZEAMER AVE
Elmendorf Afb, AK 99506
(907) 580-6746
✔ PECOS✔ Accepts Medicare143 mi
Family Practice
NPI 1003893132
1201 E 36TH AVE
Anchorage, AK 99508
(907) 562-9229
✔ PECOS✔ Accepts Medicare146 mi
Family Practice
NPI 1447990700
1201 E 36TH AVE
Anchorage, AK 99508
(907) 562-9229
✔ PECOS✔ Accepts Medicare146 mi
Nurse Practitioner
NPI 1053677203
4951 BUSINESS PARK BLVD
Anchorage, AK 99503
(907) 743-7200
✔ PECOS146 mi
Clinical Social Worker
NPI 1902254980
380 E 11TH AVE UNIT 326
Anchorage, AK 99501
(907) 717-9180
✔ PECOS147 mi
Emergency Medicine
NPI 1912910530
3710 SW US VETERANS HOSPITAL RD P5EMS
Portland, OR 97239
(503) 220-8262
✔ PECOS✔ Accepts Medicare1,402 mi
Psychiatry
NPI 1285089284
2230 STOCKTON BLVD
Sacramento, CA 95817
(919) 656-2053
✔ PECOS✔ Accepts Medicare1,848 mi
Neurology
NPI 1023317633
100 HEALTH PARK DRIVE
Louisville, CO 80027
(303) 673-1000
✔ PECOS✔ Accepts Medicare2,235 mi
Emergency Medicine
NPI 1083729933
401 W GREENLAWN
Lansing, MI 48910
(231) 843-2591
✔ PECOS✔ Accepts Medicare2,779 mi
Neurology
NPI 1942820766
1600 COIT RD STE 104
Plano, TX 75075
(817) 609-3764
✔ PECOS✔ Accepts Medicare2,895 mi
Interventional Radiology
NPI 1073926846
70 DOCTORS PARK
Cape Girardeau, MO 63703
(573) 334-6071
✔ PECOS✔ Accepts Medicare2,895 mi
Nurse Practitioner
NPI 1114629540
3567 RESERVE COMMONS DR STE 100
Medina, OH 44256
(330) 664-9250
✔ PECOS✔ Accepts Medicare2,954 mi
See all 49 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medical Center's NPI number?

The NPI number for Cordova Community Medical Center is 1215035787. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Cordova Community Medical Center located?

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

What is Cordova Community Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Cordova Community Medical Center enrolled in Medicare?

Yes. Cordova Community Medical Center is registered in the Medicare PECOS enrollment system.

When is Cordova Community Medical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Alaska, Critical Access Hospital) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Cordova Community Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 8 Medicare specialties reassign their Medicare billing to Cordova Community Medical Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (26), Family Practice (11) and Nurse Practitioner (4). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cordova Community Medical Center accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Cordova Community Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cordova Community Medical Center was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.