Providence Kodiak Medical Center
NPI 1306147434 · Adult Care Home Facility · Kodiak, AK
Providence Kodiak Medical Center is a Adult Care Home Facility organization in Kodiak, AK (NPI 1306147434).
Provider details
- NPI number
- 1306147434
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
- License
- 31478 (AK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2010-11-05
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Frequently asked questions
- What is Providence Kodiak Medical Center's NPI number?
- Providence Kodiak Medical Center's National Provider Identifier (NPI) is 1306147434, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Kodiak Medical Center?
- Providence Kodiak Medical Center is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Providence Kodiak Medical Center located?
- Providence Kodiak Medical Center's practice location on file with NPPES is 1915 E Rezanof Dr, Kodiak, AK 99615-6602.
- What is Providence Kodiak Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Providence Kodiak Medical Center is (907) 486-3281.
- Who is the authorized official for Providence Kodiak Medical Center?
- The authorized official listed on Providence Kodiak Medical Center's NPPES record is Donald Anderson, Assistant Secretary of Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Kodiak Medical Center's NPI active?
- Yes — Providence Kodiak Medical Center's NPI (1306147434) is active in the NPPES registry as of the last update on 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.