OrganizationActive
Providence Imaging Center
NPI 1265967137 · Mobile Mammography Clinic/Center · Anchorage, AK
Provider details
- NPI number
- 1265967137
- Entity type
- Organization
- Primary specialty
- Mobile Mammography Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
- License
- 48375 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3340 Providence Dr
Anchorage, AK 99508
Phone: (907) 212-3151
Fax: (907) 212-5828
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4567
Portland, OR 97208-4567
Registry dates
- Enumerated
- 2017-04-27
- 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.