Providence Health & Services Washington in Anchorage - Residential Treatment Facility, Emotionally Disturbed Children
Providence Health & Services Washington - NPI 1407945389
Providence Health & Services Washington is a Residential Treatment Facility, Emotionally Disturbed Children in Anchorage, Alaska. Providence Health & Services Washington practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Providence Health & Services Washington is 1407945389. The last update date is 2017-09-01.
Providence Health & Services Washington's current location address is 3760 Piper St, Anchorage, Alaska. You can contact this provider via phone number 9075635006 and fax number 9075633217. The mailing address for Providence Health & Services Washington is 3760 Piper St, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health & Services Washington |
|---|---|
| Address | 3760 Piper St, Anchorage, Alaska |
| Phone Number | 9075635006 |
| Fax Number | 9075633217 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR R |
|---|---|
| Authorized Official Name | Anderson Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1407945389 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2017-09-01 |
Provider Mailing Address Detail
| Address | 3760 Piper St |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 995084665 |
| Phone Number | 9075635006 |
| Fax Number | 9075633217 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 512146 |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1021061 | AK | -- | |
| 512146 | AK | STATE OF ALASKA COMMUNITY CARE | |
| MH3715 | AK | -- | |
| 1584965 | AK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Providence Health & Services Washington by the Centers for Medicare & Medicaid Services (CMS)?
The Providence Health & Services Washington has been assigned the NPI (National Provider Identifier) 1407945389. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Providence Health & Services Washington?
The Providence Health & Services Washington is situated at 3760 Piper St, in the city of Anchorage, state of AK, with the zip code 995084665.
What is the area of specialization for Providence Health & Services Washington, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Providence Health & Services Washington is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of expertise is 322D00000X.
When did Providence Health & Services Washington receive its 1407945389 assignment?
The Providence Health & Services Washington was assigned its 1407945389 on 2006-10-11, which is the date when this unique identifier was issued to the organization.
When was the Providence Health & Services Washington's information last updated?
The Providence Health & Services Washington's information was last updated on 2017-09-01.