OrganizationActive
Providence Health & Services - Washington
NPI 1083832802 · Durable Medical Equipment & Medical Supplies · Anchorage, AK
Provider details
- NPI number
- 1083832802
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Suppliers
Practice location
4001 Dale St
Suite 101
Anchorage, AK 99508-5428
Phone: (907) 563-0130
Fax: (907) 563-0135
Approximate (ZIP-level) locationGet directions
Mailing address
4001 Dale St
Anchorage, AK 99508-5428
Other names (DBA / former)
- Doing business as
- Providence Lifeline
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.