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Providence Health & Services Washington

Community/Behavioral Health Agency in Kodiak, AK · enumerated 2006 · authorized official Donald Anderson, Assistant Secretary of Enrollments.

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

National Provider Identifier

1477563344

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Registry record

Entity type Organization (Type 2)
Legal business name Providence Health & Services Washington
Other name <Unavail>
Practice address 1818 E Rezanof Dr, Kodiak, AK, 99615
Fax (907) 481-2419
Enumeration date Aug 9, 2006
Last updated in NPPES Jun 30, 2026

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 297340 (AK) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 297340 (AK) Secondary
171M00000X Case Manager/Care Coordinator Other Service Providers · License 297340 (AK) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 297340 (AK) Secondary
251S00000X Community/Behavioral Health Agency Agencies · License 297340 (AK) Primary

Authorized official

Name Donald Anderson
Title Assistant Secretary of Enrollments

Other identifiers

Identifier Type State Issuer
MH 2237 & DA2237 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

Where is Providence Health & Services Washington 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 2026-06-30. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-30.