PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1265061279

NPI Information

NPI: 1265061279
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3200 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 212-6970
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PROVIDENCE HEALTH & SERVICES WASHINGTON is a rehabilitation and substance use disorder clinic center in Anchorage, AK. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1265061279. The provider is registered as an organization entity type.

The provider's business location address is:

3200 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508-615
Phone: (907) 212-6970
Fax: (907) 212-6971

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Asst Secretary For Enrollment and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 4/2/2020 and was last updated on 4/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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