OrganizationActive
Providence Health & Services - Washington
NPI 1124163118 · Durable Medical Equipment & Medical Supplies · Anchorage, AK
Provider details
- NPI number
- 1124163118
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Providence Alaska Medical Center
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
- License
- NOT NUMBERED (AK)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3200 Providence Dr
Anchorage, AK 99508-4615
Phone: (907) 565-6522
Fax: (907) 565-6593
Street-level locationGet directions
Mailing address
Po Box 4048
Portland, OR 97208-4048
Other names (DBA / former)
- Doing business as
- Providence Alaska Medical Center
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.