PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1629054374

NPI Information

NPI: 1629054374
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON

Doing Business As: PROVIDENCE KODIAK ISLAND MEDICAL CENTER RETAIL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1915 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 486-9550
Get Directions

PROVIDENCE HEALTH & SERVICES WASHINGTON is a critical access general acute care hospital in Kodiak, AK. PROVIDENCE HEALTH & SERVICES WASHINGTON NPI is 1629054374. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Kodiak Island Medical Center Retail.

The provider's business location address is:

1915 E REZANOF DR
KODIAK, AK
ZIP 99615-602
Phone: (907) 486-9550

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Dir Reimbursemt Regulatory Strategy and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 12/10/2019.

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	282NC0060X	General Acute Care Hospital	Critical Access	285	ALASKA	Yes
2	3336L0003X	Pharmacy	Long Term Care Pharmacy			No

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: 4/28/2024

NPI Synchronization or Removal

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