Organization · Type 2 NPI

Providence Health & Services Washington

Critical Access Hospital · Kodiak, AK

NPI number 1629054374 Active

Practice location

1915 E Rezanof Dr
Kodiak, AK 99615-6602

Mailing address

PO Box 3706
Portland, OR 97208-3706

Specialties and licenses

TaxonomyCodeLicense
Critical Access Hospital Primary 282NC0060X285 (AK)
Long Term Care Pharmacy 3336L0003XNone listed

Critical Access Hospital: Definition to come.

35 other providers at this address

Other critical access hospital providers in Kodiak

See all in Kodiak →

About NPI 1629054374

Providence Health & Services Washington's National Provider Identifier is 1629054374, issued on Dec 15, 2005. The primary taxonomy on file is Critical Access Hospital (282NC0060X), and the practice location is in Kodiak, AK. The record was last updated on May 13, 2025.