PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1477563344
Community/Behavioral Health in Kodiak, AK

NPI Status: Active since August 09, 2006

Contact Information

1818 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 481-2400
Fax: (907) 481-2419

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  • Organization
  • Community/Behavioral Health
  • Accepts Insurance

About PROVIDENCE HEALTH & SERVICES WASHINGTON

This page provides the complete NPI Profile along with additional information for Providence Health & Services Washington, a provider established in Kodiak, Alaska operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1477563344 assigned on August 2006. The practitioner's primary taxonomy code is 251S00000X with license number 297340 (AK). The provider is registered as an organization and their NPI record was last updated one year ago. Providence Health & Services Washington operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Mr. Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1477563344
Provider Legal Name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1818 E REZANOF DR KODIAK, AK 99615
Location Phone
(907) 481-2400
Location Fax
(907) 481-2419
Mailing Address
PO BOX 3290 PORTLAND, OR 97208
Mailing Phone
(907) 486-9500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-09-2006
Last Update Date
05-15-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
297340
License State
AK
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

297340 (AK)
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

297340 (AK)
3171M00000XOther Service Providers

Case Manager/Care Coordinator

297340 (AK)
42084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

297340 (AK)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MH 2237 & DA2237MEDICAID (05)AK 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477563344, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 0 + 6 + 6 + 3 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1477563344.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
1818 E REZANOF DR
KODIAK, AK 99615
Nurse Practitioner
1818 E REZANOF DR
KODIAK, AK 99615
Family Medicine
1818 E REZANOF DR
KODIAK, AK 99615
Clinic/Center (Multi-Specialty)
1818 E REZANOF DR
KODIAK, AK 99615
Internal Medicine
1818 E REZANOF DR
KODIAK, AK 99615
Family Medicine
1818 E REZANOF DR, KIMA
KODIAK, AK 99615
Internal Medicine
1818 E REZANOF DR
KODIAK, AK 99615
Clinic/Center (Multi-Specialty)
1818 E REZANOF DR
KODIAK, AK 99615
Case Manager/Care Coordinator
1818 E REZANOF DR
KODIAK, AK 99615
Peer Specialist
1818 E REZANOF DR
KODIAK, AK 99615
Case Manager/Care Coordinator
1818 E REZANOF DR
KODIAK, AK 99615
Social Worker (Clinical)
1818 E REZANOF DR
KODIAK, AK 99615
Case Manager/Care Coordinator
1818 E REZANOF DR
KODIAK, AK 99615
Psychiatry & Neurology (Psychiatry)
1818 E REZANOF DR
KODIAK, AK 99615
Social Worker
1818 E REZANOF DR
KODIAK, AK 99615
Social Worker
1818 E REZANOF DR
KODIAK, AK 99615
Counselor (Professional)
1818 E REZANOF DR
KODIAK, AK 99615
Social Worker
1818 E REZANOF DR
KODIAK, AK 99615
Case Manager/Care Coordinator
1818 E REZANOF DR
KODIAK, AK 99615
Counselor (Professional)
1818 E REZANOF DR
KODIAK, AK 99615

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477563344, enumerated as an "organization" on August 09, 2006.

The provider is located at 1818 E REZANOF DR KODIAK, AK 99615 and the phone number is (907) 481-2400.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.