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Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
Providence Home Health Alaska
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD W ANDERSON JR. (DIR REIMB REG STRAT/ASST SEC ENROLL)
(425) 525-5392
Entity
Organization
Contact information
Practice address
4001 DALE ST, SUITE 101, ANCHORAGE, AK 99508-5428
(907) 563-0130
(907) 563-0135
Mailing address
4001 DALE ST STE 101, ANCHORAGE, AK 99508-5444
(907) 563-0130
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AK
251J00000X
Nursing Care Agency
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HH0174
—
AK
05
—
NA1429
—
AK
Enumeration date
08/30/2006
Last updated
04/19/2022
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