Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services Washington

Organization Critical Access Hospital · NPI 1629054374

Providence Health & Services Washington is a Critical Access Hospital in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2005.

Licensed in
AK
In the registry since
2005
Specialties on file
2

Practice location Address checks out

1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone: (907) 486-9550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Access Hospital (primary) Taxonomy 282NC0060X · Licence 285 (AK)
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1629054374
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Kodiak Island Medical Center Retail; Providence Kodiak Island Medical Center Retail
NPI enumeratedDecember 15, 2005
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing addressPo Box 3706, Portland, OR 97208-3706

Other providers in Kodiak