Providence Health & Services Washington
Providence Health & Services Washington is an Emergency Medical Services (Emergency Medicine) Physician in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2007.
- Licensed in
- AK
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
1915 E Rezanof DrKodiak, AK 99615-6602
Phone: (907) 486-3281
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medical Services (Emergency Medicine) Physician (primary) | Taxonomy 207PE0004X |
|---|---|
| Hospitalist Physician | Taxonomy 208M00000X |
| Critical Access Hospital | Taxonomy 282NC0060X · Licence 309115 (AK) |
Record details
| NPI number | 1952430902 |
|---|---|
| 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; Providence Kodiak Island Medical Center |
| NPI enumerated | March 5, 2007 |
| Last updated in NPPES | May 13, 2025 |
| Certification date | May 13, 2025 |
| Mailing address | Po Box 3706, Portland, OR 97208-3706 |