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

Providence Health & Services Washington

Organization Skilled Nursing Facility · NPI 1790889400

Providence Health & Services Washington is a Skilled Nursing Facility in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2006.

Licensed in
AK
In the registry since
2006

Practice location Address checks out

1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone: (907) 486-3281
Fax: (907) 486-9546
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 309115 (AK)

Record details

NPI number1790889400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786
Other names Providence Kodiak Island Medical Center; Providence Kodiak Island Medical Center
NPI enumeratedSeptember 12, 2006
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing addressPo Box 3706, Portland, OR 97208-3706

Other providers in Kodiak