Organization
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Active
Other names
Providence In Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENTS)
(425) 358-9786
Entity
Organization
Contact information
Practice address
4001 DALE ST, SUITE 101, ANCHORAGE, AK 99508-5428
(907) 212-4400
(907) 212-4401
Mailing address
3760 PIPER ST, SUITE 1061, ANCHORAGE, AK 99508-4665
(907) 212-0256
(907) 212-6547
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275869117
NPI
AK
05
—
HP6429
—
AK
Enumeration date
06/03/2006
Last updated
05/15/2025
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