Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
PROVIDENCE HOSPICE ALASKA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD W ANDERSON JR. (DIR REIMB REG STRAT/ASST SEC ENROLL)
(425) 525-5392
Entity
Organization
Contact information
Practice address
4001 DALE ST, SUITE 101, ANCHORAGE, AK 99508-5444
(907) 212-0256
Mailing address
4001 DALE ST STE 101, ANCHORAGE, AK 99508-5444
(907) 212-0256
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
NOT NUMBERED
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992743561
NPI
AK
Enumeration date
10/28/2009
Last updated
04/19/2022
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