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Contact Information

PROVIDENCE HEALTH & SERVICES - WASHINGTON
3760 PIPER ST
SUITE 1108
ANCHORAGE, AK99508-4683
 Phone: 907-212-6900
 Fax: 907-212-6936
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI Number 1538254347
LBN Legal business name PROVIDENCE HEALTH & SERVICES - WASHINGTON
Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2006
Last updated 05/14/2025 - More than a year ago
Identifiers
AK Medicaid 1020510
AK Medicaid 1029396
AK Medicaid 1595841
AK Medicaid 1595851
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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