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Providence Health & Services Washington

Nursing Facility/Intermediate Care Facility in Kodiak, AK · enumerated 2007 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

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

National Provider Identifier

1366658858

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services Washington
Other name <Unavail>
Practice address 1838 Chichenof St, Kodiak, AK, 99615
Phone (907) 486-3281
Enumeration date May 14, 2007
Last updated in NPPES May 15, 2025

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 309115 (AK) Primary

Authorized official

Name Donald Anderson
Title Assistant Secretary of Enrollments
Phone (425) 358-9786

Other identifiers

Identifier Type State Issuer
HS10LT Medicaid AK -

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

What is the NPI number for Providence Health & Services Washington?
The NPI for Providence Health & Services Washington is 1366658858, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Providence Health & Services Washington?
NPPES lists Donald Anderson (Assistant Secretary of Enrollments) as the authorized official for this organization.

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