Providence Health & Services - Washington in Kodiak - Skilled Nursing Facility
Providence Health & Services - Washington - NPI 1982708699
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 1982708699. The last update date is 2010-01-26.
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 |
|---|---|
| Address | 1915 E Rezanof Dr, Kodiak, Alaska |
| Phone Number | 9074863281 |
| Fax Number | 9074869546 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SVP CFO |
|---|---|
| Authorized Official Name | Butler Mike |
| Telephone Number | 4255253362 |
NPI Number Detail
| NPI Number | 1982708699 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2010-01-26 |
Provider Mailing Address Detail
| Address | 1915 E Rezanof Dr |
|---|---|
| City | Kodiak |
| State | Alaska (AK) |
| Post Code | 996156602 |
| Phone Number | 9074863281 |
| Fax Number | 9074869546 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 309115 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HS10LT | AK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Providence Health & Services - Washington by the Centers for Medicare & Medicaid Services?
The Providence Health & Services - Washington has been issued the NPI (National Provider Identifier) 1982708699, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Providence Health & Services - Washington?
The Providence Health & Services - Washington is situated at 1915 E Rezanof Dr, in the city of Kodiak, state of AK, with the zip code 996156602.
What is Providence Health & Services - Washington's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Providence Health & Services - Washington's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
When was the Providence Health & Services - Washington's 1982708699 issued?
The Providence Health & Services - Washington's 1982708699 was issued on 2006-09-12.
When was the information regarding Providence Health & Services - Washington most recently updated?
The details pertaining to the Providence Health & Services - Washington, including its address, specialty, and other relevant information, were last refreshed on 2010-01-26.
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