Providence Health and Services Alaska

NPI #1215167382 in Anchorage, Alaska

Provider Information

NPI Number
1215167382
Entity Type
Organization
Organization Name
Providence Health and Services Alaska
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 22, 2009
Last Updated
Jul 22, 2009

Practice Location

Address
4900 EAGLE ST
State
Alaska
ZIP Code
99503-7446
Phone
(907) 562-2281

Authorized Official

Name
JODY HOWORTH
Title
ADMINISTRATOR
Phone
(907) 212-0254

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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Part of Providence Health & Services Washington

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