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Cordova Community Medical Center
Child Intellectual and/or Developmental Disabilities Respite Care in Cordova, Alaska
NPI 1215035787

Cordova Community Medical Center is a Child Intellectual and/or Developmental Disabilities Respite Care based in Cordova, AK and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Cordova Community Medical Center practices in Cordova, AK. The NPI Number for Cordova Community Medical Center is 1215035787 and holds a License No. (Alaska).

The current practice location address for Cordova Community Medical Center is 602 Chase Ave, Cordova, AK and can be reached out via phone at 907-424-8000 and via fax at 907-424-8116.

Location: 602 Chase Ave, Cordova, AK, 99574-0160
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215035787
Provider Name
Cordova Community Medical Center
Credential
Provider Entity Type
Organization
Address
602 Chase Ave, Cordova, AK, 99574-0160
Phone Number
907-424-8000
Fax Number
907-424-8116
Provider Enumeration Date
09/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CM6143 05 AK
CM9745 05 AK
CMG287 05 AK
HS07IP 05 AK
0200927 01 AK NCPDP PHARM #
DA4455 05 AK
HC2871 05 AK
HS07OP 05 AK
MH6324 05 AK
HS07LT 05 AK
HS07SB 05 AK
institution
Provider Business Practice Location Address Details
Address
602 Chase Ave
City
Cordova
State
Alaska
Zip
99574-0160
Phone Number
907-424-8000
Fax Number
907-424-8116
person
Provider Business Mailing Address Details
Address
602 Chase Ave
City
Cordova
State
Alaska
Zip
99574-0160
Phone Number
907-424-8000
Fax Number
907-424-8116
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
282NC0060X
License No.
()
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
()
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
(Alaska)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 4
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
3416L0300X
License No.
(Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
(Alaska)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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