# CITY OF VALDEZ

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY OF VALDEZ
- **Other names:** PROVIDENCE VALDEZ MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336247824
- **Legal business name:** CITY OF VALDEZ
- **Authorized official:** DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 911 MEALS AVENUE, VALDEZ, AK 99686-0550
- **Practice address phone:** (907) 835-2249
- **Practice address fax:** (907) 834-1890
- **Mailing address:** PO BOX 550, VALDEZ, AK 99686-0550
- **Mailing address phone:** (907) 835-2249
- **Mailing address fax:** (907) 834-1890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | NOT NUMBERED | AK | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 05/13/2025