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Providence Kodiak Medical Center

Adult Care Home Facility in Kodiak, AK · enumerated 2010 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306147434

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Kodiak Medical Center
Practice address 1915 E Rezanof Dr, Kodiak, AK, 99615
Fax (907) 481-2497
Enumeration date Nov 5, 2010
Last updated in NPPES May 15, 2025

Taxonomy & classification

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License 31478 (AK) Primary

Authorized official

Name Donald Anderson
Title Assistant Secretary of Enrollments

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Providence Kodiak Medical Center located?
The practice location on file with NPPES is in Kodiak, AK.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-05-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-15.