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Organization

ALASKA SPECIALTY HOSPITAL, LLC

Active
Other names
PROVIDENCE ST ELIAS SPECIALTY HOSPITAL
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASST SECRETARY FOR ENROLLMENTS)
(425) 525-5392
Entity
Organization

Contact information

Practice address
4800 CORDOVA ST, ANCHORAGE, AK 99503-7218
(907) 561-3333
(907) 561-3332
Mailing address
4800 CORDOVA ST, ANCHORAGE, AK 99503-7218
(907) 561-3333
(907) 561-3332

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
731462
AK

Other

Enumeration date
07/10/2008
Last updated
09/01/2021
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