1306147434 PROVIDENCE KODIAK MEDICAL CENTER
Adult Care Home Facility
Active
Basic Information
- Organization Name
- PROVIDENCE KODIAK MEDICAL CENTER
- Enumeration Date
- November 5, 2010
- Last Update
- May 15, 2025
- Authorized Official
- DONALD WAYNE ANDERSON JR.
ASSISTANT SECRETARY OF ENROLLMENTS
Phone: (425) 358-9786
Practice Location
- Address
- 1915 E REZANOF DR
KODIAK, AK 996156602 - Phone
- (907) 486-3281
- Fax
- (907) 481-2497
Mailing Address
- Address
- 1915 E REZANOF DR
KODIAK, AK 996156602 - Phone
- (907) 486-3281
- Fax
- (907) 481-2497
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Adult Care Home Facility Adult Care Home | 311ZA0620X | Custodial Care Facility | 31478 | AK | Primary |
Frequently Asked Questions
What is PROVIDENCE KODIAK MEDICAL CENTER's NPI number?
PROVIDENCE KODIAK MEDICAL CENTER's NPI number is 1306147434.
Which doctor has NPI number 1306147434?
The doctor with NPI number 1306147434 is PROVIDENCE KODIAK MEDICAL CENTER.
What is PROVIDENCE KODIAK MEDICAL CENTER's practice address?
PROVIDENCE KODIAK MEDICAL CENTER's practice address is 1915 E REZANOF DR, KODIAK, AK, 996156602.
Which doctor practices at 1915 E REZANOF DR, KODIAK, AK, 996156602?
PROVIDENCE KODIAK MEDICAL CENTER practices at 1915 E REZANOF DR, KODIAK, AK, 996156602.
What is PROVIDENCE KODIAK MEDICAL CENTER's phone number?
PROVIDENCE KODIAK MEDICAL CENTER's phone number is (907) 486-3281.
Who is (907) 486-3281?
(907) 486-3281 is the phone number for PROVIDENCE KODIAK MEDICAL CENTER.
What is PROVIDENCE KODIAK MEDICAL CENTER's specialty?
PROVIDENCE KODIAK MEDICAL CENTER's specialty is Adult Care Home Facility.
What type of doctor is PROVIDENCE KODIAK MEDICAL CENTER?
PROVIDENCE KODIAK MEDICAL CENTER is a Adult Care Home Facility.
Is PROVIDENCE KODIAK MEDICAL CENTER a Adult Care Home?
Yes, PROVIDENCE KODIAK MEDICAL CENTER is a Adult Care Home.
Is PROVIDENCE KODIAK MEDICAL CENTER still practicing?
Yes, PROVIDENCE KODIAK MEDICAL CENTER is currently practicing.
Is PROVIDENCE KODIAK MEDICAL CENTER accepting new patients?
PROVIDENCE KODIAK MEDICAL CENTER may be accepting new patients. Please call their office at (907) 486-3281 to inquire about availability.
Is NPI 1306147434 still active?
Yes, NPI 1306147434 is currently active.
Where does PROVIDENCE KODIAK MEDICAL CENTER practice?
PROVIDENCE KODIAK MEDICAL CENTER practices in KODIAK, AK.