Providence Health & Services Washington
Providence Health & Services Washington is a Nursing Facility/Intermediate Care Facility in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2007.
- Licensed in
- AK
- In the registry since
- 2007
Practice location Address checks out
1838 Chichenof StKodiak, AK 99615-6519
Phone: (907) 486-3281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nursing Facility/Intermediate Care Facility (primary) | Taxonomy 313M00000X · Licence 309115 (AK) |
|---|
Record details
| NPI number | 1366658858 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| Other names | Providence Kodiak Island Medical Center |
| NPI enumerated | May 14, 2007 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
| Mailing address | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 |