National Provider Identifier Database

PROVIDENCE HEALTH SERVICES WASHINGTON
Hospice Care, Community Based


Contact Information

PROVIDENCE HEALTH & SERVICES - WASHINGTON
4001 DALE ST
SUITE 101
ANCHORAGE, AK99508-5428
Phone: 907-212-4400
Fax: 907-212-4401
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Hospice and Palliative Medicine 207QH0002X

* Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI Number 1992743561
Legal business name
LBN
PROVIDENCE HEALTH & SERVICES - WASHINGTON
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS)
Entity Organization
Organization subpart No
Enumeration date 06/03/2006
Last updated 05/15/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • AK Medicaid: HP6429
  • AK Other: 1275869117 NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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