Providence Extended Care Center

LBN: Providence Health & Services - Washington
Providence Extended Care Center is an health care organization with primary practice located at 4900 Eagle St , Anchorage AK 99503-7446. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Providence Health & Services - Washington can be contacted via phone (907) 562-2281, or through Lamoureux, Bruce via phone (907) 212-5682.

Contact Information

Primary practice address
4900 Eagle St Anchorage AK 99503-7446
Phone: (907) 562-2281
Fax: (907) 762-0266
Website:
Map and Directions
Authorized official contact:
Name: Lamoureux, Bruce
Phone: (907) 212-5682

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NOT NUMBERED Alaska

Profile Details

NPI number 1376638171
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence Extended Care Center
Authorized official Lamoureux, Bruce
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jan 31st, 2012 - about 14 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 1376638171 NPPES
Alaska MEDICAID MDG231

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