PROVIDENCE KODIAK MEDICAL CENTER
NPI 1306147434
Custodial Care Facility - Adult Care Home in Kodiak, AK
About Providence Kodiak Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE KODIAK MEDICAL CENTER (NPI 1306147434) is a healthcare organization registered as an adult care home in Kodiak, Alaska and active in the NPI registry since November 2010. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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.
KODIAK, AK 99615
KODIAK, AK 99615
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 Kodiak Medical Center's NPI number?
The NPI number for Providence Kodiak Medical Center is 1306147434. It was assigned to this organization in the NPPES registry on November 5, 2010.
Where is Providence Kodiak Medical Center located?
Providence Kodiak Medical Center is located at 1915 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 486-3281.
What is Providence Kodiak Medical Center's specialty?
The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.
When was this NPI record last updated?
The NPPES record for Providence Kodiak Medical Center was last updated on May 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
