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Organization
CITY OF SEWARD
Active
Organization
CITY OF SEWARD
Active
Other names
PROVIDENCE SEWARD MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
417 FIRST AVE, SEWARD, AK 99664
(907) 224-5205
(907) 224-7248
Mailing address
PO BOX 430, SEWARD, AK 99664-0430
(907) 565-6522
(907) 565-6592
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
AK
207P00000X
Emergency Medicine Physician
—
AK
207Q00000X
Family Medicine Physician
—
AK
207R00000X
Internal Medicine Physician
—
AK
207ZC0006X
Clinical Pathology Physician
—
AK
2085B0100X
Body Imaging Physician
—
AK
282NC0060X
Critical Access Hospital
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG487
—
AK
Enumeration date
10/19/2006
Last updated
05/12/2025
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