Providence Kodiak Medical Center
Providence Kodiak Medical Center is an Adult Care Home Facility in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2010.
- Licensed in
- AK
- In the registry since
- 2010
Practice location Address checks out
1915 E Rezanof DrKodiak, AK 99615-6602
Phone: (907) 486-3281
Fax: (907) 481-2497
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 31478 (AK) |
|---|
Record details
| NPI number | 1306147434 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| NPI enumerated | November 5, 2010 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
| Mailing address | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 |