Providence Health System-Washington in Kodiak - Long Term Care Pharmacy
Providence Health System-Washington - NPI 1083695324
Providence Health System-Washington is a Long Term Care Pharmacy in Kodiak, Alaska. Providence Health System-Washington practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for Providence Health System-Washington is 1083695324. The last update date is 2018-03-28.
Providence Health System-Washington's current location address is 1915 E Rezanof Dr, Kodiak, Alaska. You can contact this provider via phone number 9074869550 and fax number 9074869553. The mailing address for Providence Health System-Washington is 1915 E Rezanof Dr, Kodiak, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Health System-Washington |
|---|---|
| Address | 1915 E Rezanof Dr, Kodiak, Alaska |
| Phone Number | 9074869550 |
| Fax Number | 9074869553 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIR REIMB |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1083695324 |
|---|---|
| Provider Enumeration Date | 2005-11-11 |
| Last Updated Date | 2018-03-28 |
Provider Mailing Address Detail
| Address | 1915 E Rezanof Dr |
|---|---|
| City | Kodiak |
| State | Alaska (AK) |
| Post Code | 996156602 |
| Phone Number | 9074869550 |
| Fax Number | 9074869553 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1997047 | PK |
Post Comment/ Review Below
What is the Providence Health System-Washington's 1083695324?
The Providence Health System-Washington's NPI (National Provider Identifier) Number is 1083695324. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Providence Health System-Washington's physical address?
The Providence Health System-Washington is physically located at 1915 E Rezanof Dr, in the city of Kodiak, AK, with the postal code 996156602.
What is the Providence Health System-Washington's specialty and taxonomy code?
The Providence Health System-Washington's specialty is Long Term Care Pharmacy, and the corresponding taxonomy code is 3336L0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1083695324 to Providence Health System-Washington?
The Providence Health System-Washington received its 1083695324 assignment from the Centers for Medicare & Medicaid Services on 2005-11-11.
As of what date was the information pertaining to Providence Health System-Washington, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Providence Health System-Washington, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-28.