PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1083832802
Durable Medical Equipment & Medical Supplies in Anchorage, AK

Active since April 24, 2007
4001 DALE ST, SUITE 101, ANCHORAGE, AK 99508(907) 563-0130(907) 563-0135 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1083832802), doing business as Providence Lifeline, is a healthcare organization registered as a durable medical equipment & medical supplies in Anchorage, Alaska and active in the NPI registry since April 2007. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1083832802
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address4001 DALE ST, SUITE 101Anchorage, AK 99508-5428
Mailing Address4001 Dale St, Suite 101Anchorage, AK 99508-5428 · (907) 563-0130 · Fax (907) 563-0135
Fax(907) 563-0135
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786
Enumeration DateApril 24, 2007
Last NPPES UpdateMay 15, 2025
NPPES CertifiedMay 15, 2025
NPI 1083832802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4001 DALE ST, Anchorage, AK 99508

Other Names 1

Doing Business AsProvidence Lifeline

Other Identifiers 1

MedicaidMS0012AK

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.

Internal Medicine
4001 DALE ST, SUITE 210
ANCHORAGE, AK 99508
Nurse Practitioner (Family)
4001 DALE ST, #201
ANCHORAGE, AK 99508
Home Health
4001 DALE ST, SUITE 101
ANCHORAGE, AK 99508
Psychiatry & Neurology (Psychiatry)
4001 DALE ST, STE 101
ANCHORAGE, AK 99508
Otolaryngology
4001 DALE ST, #201
ANCHORAGE, AK 99508
Psychiatry & Neurology (Psychiatry)
4001 DALE ST, STE 101
ANCHORAGE, AK 99508
Pediatrics
4001 DALE ST, #213
ANCHORAGE, AK 99508
Physical Therapist
4001 DALE ST, SUITE 101
ANCHORAGE, AK 99508

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 1083832802. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Providence Lifeline.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 4001 Dale St Suite 101, Anchorage, AK 99508. The listed phone number is (907) 563-0130.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.