Providence Kodiak Island Medical Center

LBN: Providence Health & Services - Washington
Providence Kodiak Island Medical Center is an health care organization with primary practice located at 1915 E Rezanof Dr , Kodiak AK 99615-6602. 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) 486-3281, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
1915 E Rezanof Dr Kodiak AK 99615-6602
Phone: (907) 486-3281
Fax: (907) 486-9546
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 309115 Alaska

Profile Details

NPI number 1982708699
LBN Legal business name Providence Health & Services - Washington
DBA Doing business as Providence Kodiak Island Medical Center
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Jun 14th, 2024 - about 2 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.

Request for update

Popular Providers