PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1093720534
Family Medicine in Palmer, AK

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 31, 2006

2250 S. WOODWORTH LOOP, SUITE 101, PALMER, AK 99645(907) 761-5900(907) 761-5975 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1093720534), doing business as Providence Matanuska Health Care, is a healthcare organization registered as a family medicine in Palmer, Alaska and active in the NPI registry since July 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.

NPPES Registry Identity

NPI1093720534

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON

Location Address2250 S. WOODWORTH LOOP, SUITE 101Palmer, AK 99645

Mailing AddressPo Box 4105Portland, OR 97208-4105

Phone(907) 761-5900

Fax(907) 761-5975

Organization SubpartYesParent: Providence Health And Services Alaska

Authorized OfficialDonald Wayne AndersonAssistant Secretary Of Enrollments · (425) 358-9786

Enumeration DateJuly 31, 2006

Last NPPES UpdateMay 15, 2025

NPPES CertifiedMay 15, 2025

✔ NPI 1093720534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPediatricsTaxonomy 208000000X

2250 S. WOODWORTH LOOP, Palmer, AK 99645

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Other Names 1

Doing Business AsProvidence Matanuska Health Care

Other Identifiers 1

MedicaidMDG669AK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 1093720534. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Providence Matanuska Health Care.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 2250 S. Woodworth Loop Suite 101, Palmer, AK 99645. The listed phone number is (907) 761-5900.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 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.