Providence Health & Services Washington
NPI 1952430902 · Emergency Medical Services (Emergency Medicine) Physician · Kodiak, AK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Health & Services Washington is a Emergency Medical Services (Emergency Medicine) Physician organization in Kodiak, AK (NPI 1952430902).
Provider details
- NPI number
- 1952430902
- Entity type
- Organization
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
Hospitals
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Kodiak Island Medical Center
- Doing business as
- Providence Kodiak Island Medical Center
Registry dates
- Enumerated
- 2007-03-05
- 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 1952430902, 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 Emergency Medical Services (Emergency Medicine) Physician (Allopathic & Osteopathic Physicians).
- 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) 486-3281.
- Does Providence Health & Services Washington accept Medicare?
- Providence Health & Services Washington is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1952430902) 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.