Providence Health & Services Washington in Kodiak - Skilled Nursing Facility
Providence Health & Services Washington - NPI 1790889400
Providence Health & Services Washington is a Skilled Nursing Facility in Kodiak, Alaska. Providence Health & Services Washington practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Providence Health & Services Washington is 1790889400. The last update date is 2022-03-01.
Providence Health & Services Washington's current location address is 1915 E Rezanof Dr, Kodiak, Alaska. You can contact this provider via phone number 9074863281 and fax number 9074869546. The mailing address for Providence Health & Services Washington is 1915 E Rezanof Dr, Kodiak, Alaska. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Providence Health & Services Washington |
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Address | 1915 E Rezanof Dr, Kodiak, Alaska |
Phone Number | 9074863281 |
Fax Number | 9074869546 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ASST SECRE |
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Authorized Official Name | Anderson Wayne Donald |
Telephone Number | 4255255392 |
NPI Number Detail
NPI Number | 1790889400 |
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Provider Enumeration Date | 2006-09-12 |
Last Updated Date | 2022-03-01 |
Provider Mailing Address Detail
Address | 1915 E Rezanof Dr |
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City | Kodiak |
State | Alaska (AK) |
Post Code | 996156602 |
Phone Number | 9074863281 |
Fax Number | 9074869546 |
Provider's Primary Taxonomy Detail
Speciality | Skilled Nursing Facility |
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Taxonomy | 314000000X |
Licence No | 309115 |
Definition: (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 serv |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
HS10SB | AK | -- |
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What is the unique identifier code issued to Providence Health & Services Washington by the Centers for Medicare & Medicaid Services?
The Providence Health & Services Washington has been assigned the NPI (National Provider Identifier) 1790889400. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code issued to Providence Health & Services Washington by the Centers for Medicare & Medicaid Services?
The Providence Health & Services Washington has been assigned the NPI (National Provider Identifier) 1790889400 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
What is Providence Health & Services Washington's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Providence Health & Services Washington is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date was the 1790889400 assigned to Providence Health & Services Washington?
The Providence Health & Services Washington was issued its 1790889400 on 2006-09-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Providence Health & Services Washington receive the assignment of its 1790889400 from the Centers for Medicare & Medicaid Services?
The Providence Health & Services Washington was issued its 1790889400 by the Centers for Medicare & Medicaid Services on 2006-09-12.
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