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Organization
CITY OF VALDEZ
Active
Organization
CITY OF VALDEZ
Active
Parent organization
CITY OF VALDEZ
Other names
PROVIDENCE VALDEZ MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF VALDEZ
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
911 MEALS, VALDEZ, AK 99686-0550
(907) 835-2249
(907) 834-1890
Mailing address
PO BOX 550, VALDEZ, AK 99686-0550
(907) 835-2249
(907) 834-1890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
282NC0060X
Critical Access Hospital
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS027IP
—
AK
05
—
HS027OP
—
AK
Enumeration date
09/12/2006
Last updated
05/13/2025
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