PROVIDENCE HEALTH & SERVICES WASHINGTON NPI 1669001582

NPI Information

NPI: 1669001582
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3760 PIPER ST STE LL139
ANCHORAGE, AK
ZIP 99508
Phone: (907) 563-5006
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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 1669001582. The provider is registered as an organization entity type.

The provider's business location address is:

3760 PIPER ST STE LL139
ANCHORAGE, AK
ZIP 99508-683
Phone: (907) 563-5006

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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