institution
Providence Health & Services Washington
Critical Access Hospital in Kodiak, Alaska
NPI 1013905660

Providence Health & Services Washington is a Critical Access Hospital based in Portland, AK and is specialized in Critical Access. Providence Health & Services Washington practices in Kodiak, AK. The NPI Number for Providence Health & Services Washington is 1013905660 and holds a License No. 309115 (Alaska).

The current practice location address for Providence Health & Services Washington is 1915 E Rezanof Dr, Kodiak, AK and can be reached out via phone at 907-486-3281 and via fax at 907-486-9546. You can also correspond with Providence Health & Services Washington through the mailing address at PO BOX 3706, PORTLAND, OR - 97208-3706 (mailing address contact number: 907-486-3281).

Location: 1915 E Rezanof Dr, Kodiak, AK, 97208-3706
institution
Provider Profile Details
NPI Number
1013905660
Provider Name
Providence Health & Services Washington
Credential
Provider Entity Type
Organization
Address
1915 E Rezanof Dr, Kodiak, AK, 97208-3706
Phone Number
907-486-3281
Fax Number
907-486-9546
Provider Enumeration Date
10/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HS10 05 AK
institution
Provider Business Practice Location Address Details
Address
1915 E Rezanof Dr
City
State
Zip
99615-6602
Phone Number
907-486-3281
Fax Number
907-486-9546
person
Provider Business Mailing Address Details
Address
1915 E Rezanof Dr
City
State
Zip
99615-6602
Phone Number
907-486-3281
Fax Number
907-486-9546
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
Critical Access
Taxonomy
License No.
309115 (Alaska)
Definition
Definition to come.
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