Providence Lifeline

LBN: Providence Health & Services - Washington
Providence Lifeline is an health care organization with primary practice located at 4001 Dale St Suite 101, Anchorage AK 99508-5428. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (907) 563-0130, or through Hall, Jared via phone (907) 563-0130.

Contact Information

Primary practice address
4001 Dale St Suite 101 Anchorage AK 99508-5428
Phone: (907) 563-0130
Fax: (907) 563-0135
Website:
Map and Directions
Authorized official contact:
Name: Hall, Jared
Phone: (907) 563-0130

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1083832802
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence Lifeline
Authorized official Hall, Jared
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Aug 28th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083832802 NPPES
Alaska MEDICAID MS0012

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