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Organization
PROVIDENCE SEWARD MEDICAL & CARE CENTER
Active
Organization
PROVIDENCE SEWARD MEDICAL & CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
417 FIRST AVENUE, SEWARD, AK 99664-0365
(907) 224-5205
(907) 224-7248
Mailing address
PO BOX 430, SEWARD, AK 99664-0430
(907) 224-5205
(907) 224-7248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11176
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027030
MEDICARE
AK
05
—
HH2487
—
AK
05
—
NA2487
—
AK
05
—
PCG214
—
AK
Enumeration date
09/19/2008
Last updated
05/12/2025
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