Organization · Type 2 NPI

Providence Health & Services - Washington

Skilled Nursing Facility · Kodiak, AK

NPI number 1982708699 Active

Practice location

1915 E Rezanof Dr
Kodiak, AK 99615-6602

Call (907) 486-3281 Map

Fax (907) 486-9546

Mailing address

PO Box 3706
Portland, OR 97208-3706

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X309115 (AK)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1982708699

Providence Health & Services - Washington's National Provider Identifier is 1982708699, issued on Sep 12, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Kodiak, AK. The record was last updated on May 13, 2025.