PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1790889400
Skilled Nursing Facility in Kodiak, AK
About Providence Health & Services Washington NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI 1790889400), doing business as Providence Kodiak Island Medical Center, is a healthcare organization registered as a skilled nursing facility in Kodiak, Alaska and active in the NPI registry since September 2006. The organization lists Donald Wayne Anderson, Assistant Secretary Of Enrollments, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Other Names 1
Other Identifiers 1
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 Health & Services Washington's NPI number?
The NPI number for Providence Health & Services Washington is 1790889400. It was assigned to this organization in the NPPES registry on September 12, 2006. 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 Skilled Nursing Facility with taxonomy code 314000000X.
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 with the weekly NPPES data releases published by CMS.