Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
PROVIDENCE TRANSITIONAL CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
(425) 525-5392
Entity
Organization
Contact information
Practice address
910 COMPASSION CIRCLE, ANCHORAGE, AK 99504-1645
(907) 212-9100
(907) 212-9102
Mailing address
3760 PIPER ST, SUITE 1061, ANCHORAGE, AK 99508-4665
(907) 212-0256
(907) 212-6547
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007108
—
AK
01
—
213
BLUE CROSS
AK
Enumeration date
06/30/2005
Last updated
03/04/2024
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