OrganizationActive
Providence Health & Services Washington
NPI 1629054374 · Critical Access Hospital · Kodiak, AK
Providence Health & Services Washington is a Critical Access Hospital organization in Kodiak, AK (NPI 1629054374).
Provider details
- NPI number
- 1629054374
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Hospitals
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone: (907) 486-9550
Street-level locationGet directions
Mailing address
Po Box 3706
Portland, OR 97208-3706
Other names (DBA / former)
- Doing business as
- Providence Kodiak Island Medical Center Retail
- Doing business as
- Providence Kodiak Island Medical Center Retail
Registry dates
- Enumerated
- 2005-12-15
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Frequently asked questions
- What is Providence Health & Services Washington's NPI number?
- Providence Health & Services Washington's National Provider Identifier (NPI) is 1629054374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health & Services Washington?
- Providence Health & Services Washington is classified in the NPPES registry as Critical Access Hospital (Hospitals).
- Where is Providence Health & Services Washington located?
- Providence Health & Services Washington's practice location on file with NPPES is 1915 E Rezanof Dr, Kodiak, AK 99615-6602.
- What is Providence Health & Services Washington's phone number?
- The practice phone number listed in the NPPES registry for Providence Health & Services Washington is (907) 486-9550.
- Who is the authorized official for Providence Health & Services Washington?
- The authorized official listed on Providence Health & Services Washington'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 Health & Services Washington's NPI active?
- Yes — Providence Health & Services Washington's NPI (1629054374) is active in the NPPES registry as of the last update on 2025-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.