Providence Health & Services Washington

NPI #1952430902 in Kodiak, Alaska

Provider Information

NPI Number
1952430902
Entity Type
Organization
Organization Name
Providence Health & Services Washington
Primary Specialty
Emergency Medicine - Emergency Medical Services
Enumeration Date
Mar 5, 2007
Last Updated
May 13, 2025

Practice Location

Address
1915 E REZANOF DR
City
Kodiak
State
Alaska
ZIP Code
99615-6602
Phone
(907) 486-3281

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Hospitalist
General Acute Care Hospital - Critical AccessCritical Access
Emergency Medicine - Emergency Medical ServicesEmergency Medical Services

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