Organization
CITY OF VALDEZ
Active
Parent organization
CITY OF VALDEZ
Other names
PROVIDENCE VALDEZ MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF VALDEZ
Authorized official
MR. DONALD ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
911 MEALS AVENUE, VALDEZ, AK 99686
(907) 835-2249
(907) 834-1890
Mailing address
PO BOX 550, VALDEZ, AK 99686-0550
(907) 835-2249
(907) 834-1890
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NOT NUMBERED
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LT2123
—
AK
Enumeration date
07/04/2006
Last updated
05/13/2025
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