PROVIDENCE MEDICAL CENTER; NPI #1982957015

Contact Information

PROVIDENCE MEDICAL CENTER

417 FIRST AVE
SEWARD, AK 99664-0365

Phone: 907-224-5205
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for PROVIDENCE MEDICAL CENTER

NPI Number 1982957015

LBN Legal business name PROVIDENCE MEDICAL CENTER

Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2012

Last updated 05/12/2025 - More than a year ago

Identifiers

License #

2310

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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