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PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI 1992743561


NPI Information

NPI: 1992743561
Provider Name: PROVIDENCE HEALTH & SERVICES - WASHINGTON

Doing Business As: PROVIDENCE IN HOME SERVICES

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
4001 DALE ST
SUITE 101
ANCHORAGE, AK
ZIP 99508
Phone: (907) 212-4400
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PROVIDENCE HEALTH & SERVICES - WASHINGTON is a hospice care community based in Anchorage, AK. PROVIDENCE HEALTH & SERVICES - WASHINGTON NPI is 1992743561. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Providence In Home Services.

The provider's business location address is:

4001 DALE ST
SUITE 101
ANCHORAGE, AK
ZIP 99508-428
Phone: (907) 212-4400
Fax: (907) 212-4401

The provider's authorized official is Deborah L. Seidl .
The authorized official title is Director and has the following contact phone number (907) 563-0130.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 3/21/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QH0002XFamily MedicineHospice and Palliative MedicineNo
2251G00000XHospice Care, Community BasedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1021506MEDICARE OSCAR/CERTIFICATIONALASKA
2HP6429MEDICAIDALASKA
31275869117OTHERALASKANPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.