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Providence Health & Services - Washington
Home Health Agency in Kodiak, Alaska
NPI 1891899597

Providence Health & Services - Washington is a Home Health Agency based in Kodiak, AK. Providence Health & Services - Washington practices in Kodiak, AK. The NPI Number for Providence Health & Services - Washington is 1891899597 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 1915 E REZANOF DR, KODIAK, AK - 99615-6602 (mailing address contact number: 907-486-3281).

Location: 1915 E Rezanof Dr, Kodiak, AK, 99615-6602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891899597
Provider Name
Providence Health & Services - Washington
Credential
Provider Entity Type
Organization
Address
1915 E Rezanof Dr, Kodiak, AK, 99615-6602
Phone Number
907-486-3281
Fax Number
907-486-9546
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HH3281 05 AK
PCG534A 05 AK
CMG658 05 AK
NA1431 05 AK
MS4793 05 AK
institution
Provider Business Practice Location Address Details
Address
1915 E Rezanof Dr
City
Kodiak
State
Alaska
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
Kodiak
State
Alaska
Zip
99615-6602
Phone Number
907-486-3281
Fax Number
907-486-9546
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
309115 (Alaska)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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