Providence Extended Care

LBN: Providence Health & Services Washington
Providence Extended Care is an health care organization with primary practice located at 3760 Piper St Suite 1061, Anchorage AK 99508-4683. 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) 212-0256, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
3760 Piper St Suite 1061 Anchorage AK 99508-4683
Phone: (907) 212-0256
Fax: (907) 212-6547
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1396096996
LBN Legal business name Providence Health & Services Washington
DBA Doing business as Providence Extended Care
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 24th, 2012
Last updated Nov 3rd, 2021 - about 5 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 1396096996 NPPES
Alaska MEDICAID 1615041

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