PROVIDENCE IMAGING CENTER; NPI #1265967137

Contact Information

PROVIDENCE IMAGING CENTER

3340 PROVIDENCE DR
ANCHORAGE, AK 99508

Phone: 907-212-3151
Fax: 907-212-5828
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology, Mobile Mammography	261QR0207X	45	Mammography Center

Indicates primary specialty

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NPI Profile & details for PROVIDENCE IMAGING CENTER

NPI Number 1265967137

LBN Legal business name PROVIDENCE IMAGING CENTER

Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/27/2017

Last updated 05/14/2025 - More than a year ago

Identifiers

License #

48375

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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