Organization
CITY OF SEWARD
Active
Other names
PROVIDENCE SEWARD MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
417 FIRST AVE, SEWARD, AK 99664
(907) 224-5205
(907) 224-7248
Mailing address
PO BOX 430, SEWARD, AK 99664-0430
(907) 565-6522
(907) 565-6592
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
AK
207P00000X
Emergency Medicine Physician
—
AK
207Q00000X
Family Medicine Physician
—
AK
207R00000X
Internal Medicine Physician
—
AK
207ZC0006X
Clinical Pathology Physician
—
AK
2085B0100X
Body Imaging Physician
—
AK
282NC0060X
Critical Access Hospital
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG487
—
AK
Enumeration date
10/19/2006
Last updated
05/12/2025
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