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PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1013905660
General Acute Care Hospital - Critical Access in Kodiak, AK

Active since October 07, 2005
1915 E REZANOF DR, KODIAK, AK 99615(907) 486-3281(907) 486-9546 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2025, Feb 15, 2019 (2 updates tracked since 2019).

About Providence Health & Services Washington NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1013905660), doing business as Providence Kodiak Island Medical Center, is a healthcare organization registered as a critical access in Kodiak, Alaska and active in the NPI registry since October 2005. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1013905660
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NamePROVIDENCE HEALTH & SERVICES WASHINGTON
Location Address1915 E REZANOF DRKodiak, AK 99615-6602
Mailing AddressPo Box 3706Portland, OR 97208-3706 · (907) 486-3281 · Fax (907) 486-9546
Phone(907) 486-3281
Fax(907) 486-9546
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateOctober 7, 2005
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1013905660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in AK · 309115
1915 E REZANOF DR, Kodiak, AK 99615
Open in Google Maps ↗

Other Names 1

Doing Business AsProvidence Kodiak Island Medical Center

Other Identifiers 1

MedicaidHS10AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Providence Kodiak Island Medical Ctr (CMS certification number 021306), from CMS Care Compare.

Providence Kodiak Island Medical Ctr

Critical Access Hospitals · Kodiak, AK
OwnershipVoluntary non-profit - Church
CMS Certification Number021306
Location1915 East Rezanof DriveKodiak, AK 99615 · Kodiak Island Borough County · (907) 486-9592
Emergency services Birthing friendly Meaningful use of EHRs

Complications & Deaths 5

Death rate for stroke patients
Cases too small to report
Death rate for pneumonia patients
Cases too small to report
Death rate for heart failure patients
Cases too small to report
Death rate for COPD patients
Cases too small to report
Death rate for heart attack patients
Cases too small to report

Unplanned Hospital Visits 11

Pneumonia (PN) 30-Day Readmission Rate
Cases too small to report
Rate of readmission after discharge from hospital (hospital-wide)
96 No different than national
Heart failure (HF) 30-Day Readmission Rate
Cases too small to report
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients
Cases too small to report
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate
Cases too small to report
Ratio of unplanned hospital visits after hospital outpatient surgery
Cases too small to report

Timely & Effective Care 8

Healthcare workers given influenza vaccination
84%
Hospital Harm - Severe Hyperglycemia
9
Emergency department volume
Low
Venous Thromboembolism Prophylaxis
93%
Safe Use of Opioids - Concurrent Prescribing
10%
Left before being seen
1%

Maternal Health 2

Exclusive Breast Milk Feeding
81
Maternal Morbidity Structural Measure
Yes

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENE L ROBINSON MD
Surgery
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9580
MRS. ANN-MARIE WEST RN
Home Health
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9545
KODIAK LIFE DIAGNOSTIC IMAGING, INC
Clinic/Center (Radiology)
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 512-9559
PROVIDENCE HEALTH & SERVICES -WASHINGTON
Pharmacy (Institutional Pharmacy)
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9550
DR. STEPHANIE LOUISE HURLEY PHARMD
Pharmacist
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9550
MR. JOHN ARTHUR MCENTEE RPH
Pharmacist
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9549
CYNTHIA M PARENT
Nurse Anesthetist, Certified Registered
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 223-7513
MRS. STEPHANIE MATHIS LOWDERMILK RN, BS, BLSI
Home Health
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Health & Services Washington's NPI number?

The NPI number for Providence Health & Services Washington is 1013905660. It was assigned to this organization in the NPPES registry on October 7, 2005. The provider is doing business as Providence Kodiak Island Medical Center.

Where is Providence Health & Services Washington located?

Providence Health & Services Washington is located at 1915 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-3281.

What is Providence Health & Services Washington's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Providence Health & Services Washington a Medicare-certified hospital?

Yes. Providence Kodiak Island Medical Ctr is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

What insurance does Providence Health & Services Washington accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services Washington was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.