NPI 1629054374

Providence Health & Services Washington

Organisation Critical Access Hospital Kodiak, AK

Practice location

Address: 1915 E Rezanof Dr, Kodiak, AK 99615-6602
Phone: (907) 486-9550
Mailing address: PO Box 3706, Portland, OR 97208-3706

Authorised official

Name: Donald Wayne Anderson
Title: Assistant Secretary of Enrollments
Phone: (425) 358-9786

Registered specialties (2)

Critical Access Hospital Primary

Hospitals Taxonomy 282NC0060X Licence 285 (AK)

Other General Acute Care Hospital providers in Alaska →

Long Term Care Pharmacy

Suppliers Taxonomy 3336L0003X

Other Pharmacy providers in Alaska →

Registry record

NPI: 1629054374
Entity type: Organization
NPI issued: 15 Dec 2005
Record last updated: 13 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.