Providence Medical Group Alaska

LBN: Providence Health & Services Washington
Providence Medical Group Alaska is an health care organization with primary practice located at 3760 Piper St Suite 1108, Anchorage AK 99508-4683. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Providence Health & Services Washington can be contacted via phone (907) 212-6900, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
3760 Piper St Suite 1108 Anchorage AK 99508-4683
Fax: (907) 212-6936
Website:
Authorized official contact:
Name: Anderson, Donald W

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 282054 Alaska

Profile Details

NPI number 1538254347
LBN Legal business name Providence Health & Services Washington
DBA Doing business as Providence Medical Group Alaska
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
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 1538254347 NPPES
Alaska MEDICAID 1020510
Alaska MEDICAID 1029396
Alaska MEDICAID 1595841
Alaska MEDICAID 1595851

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