Providence Kodiak Medical Center
NPI #1306147434 in Kodiak, Alaska
Provider Information
- NPI Number
- 1306147434
- Entity Type
- Organization
- Organization Name
- Providence Kodiak Medical Center
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Nov 5, 2010
- Last Updated
- May 15, 2025
Practice Location
Authorized Official
- Name
- DONALD WAYNE ANDERSON JR.
- Title
- ASSISTANT SECRETARY OF ENROLLMENTS
- Phone
- (425) 358-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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