Providence Health & Services Washington

NPI #1366658858 in Kodiak, Alaska

Provider Information

NPI Number
1366658858
Entity Type
Organization
Organization Name
Providence Health & Services Washington
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
May 14, 2007
Last Updated
May 15, 2025

Practice Location

Address
1838 CHICHENOF ST
City
Kodiak
State
Alaska
ZIP Code
99615-6519
Phone
(907) 486-3281

Authorized Official

Name
DONALD W ANDERSON JR.
Title
ASSISTANT SECRETARY OF ENROLLMENTS
Phone
(425) 358-9786

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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