Emergency Medicine, Emergency Medical Services
PROVIDENCE HEALTH & SERVICES WASHINGTON
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1952430902 · enumerated 2007-03-05 · record updated 2025-05-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: DONALD ANDERSON, Assistant Secretary of Enrollments · (425) 358-9786
Other names: PROVIDENCE KODIAK ISLAND MEDICAL CENTER
Addresses and phones
- Practice location 1915 E REZANOF DR, KODIAK, AK, 99615-6602 (907) 486-3281 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 3706, PORTLAND, OR, 97208-3706 (907) 486-3281 Google Maps Apple Maps OpenStreetMap
Specialties
- Hospitalist 208M00000X
- General Acute Care Hospital, Critical Access 282NC0060X · License 309115 AK
- Emergency Medicine, Emergency Medical Services 207PE0004X · Primary
In this directory
AK Kodiak Island Borough Kodiak Emergency Medicine, Emergency Medical Services
Locations and evidence
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Practice location
KODIAK, AK, 996156602
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.