Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Parent organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Other names
Providence Extended Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Authorized official
DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
3760 PIPER ST, SUITE 1061, ANCHORAGE, AK 99508-4683
(907) 212-0256
(907) 212-6547
Mailing address
920 COMPASSION CIRCLE, ANCHORAGE, AK 99504
(907) 212-9200
(907) 212-9280
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1615041
—
AK
Enumeration date
09/24/2012
Last updated
05/15/2025
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