Providence Health System-Washington

LBN: Providence Health System-Washington
Providence Health System-Washington is an health care organization with primary practice located at 1915 E Rezanof Dr , Kodiak AK 99615-6602. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Providence Health System-Washington can be contacted via phone (907) 486-9550, or through Anderson, Donald Wayne via phone (425) 525-5392.

Contact Information

Primary practice address
1915 E Rezanof Dr Kodiak AK 99615-6602
Phone: (907) 486-9550
Fax: (907) 486-9553
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald Wayne
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X PHAR355 Alaska
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1083695324
LBN Legal business name Providence Health System-Washington
DBA Doing business as
Authorized official Anderson, Donald Wayne
Entity Organization
Organization subpart 1 No
Enumeration date Nov 11th, 2005
Last updated Mar 28th, 2018 - about 7 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 1083695324 NPPES
Other 1997047 PK

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