NPI 1366658858
Providence Health & Services Washington
Practice location
- Address
- 1838 Chichenof St, Kodiak, AK 99615-6519
- Phone
- (907) 486-3281
- Mailing address
- 1915 E Rezanof Dr, Kodiak, AK 99615-6602
Authorised official
- Name
- Donald W Anderson
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1366658858
- Entity type
- Organization
- NPI issued
- 14 May 2007
- Record last updated
- 15 May 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.