| Providence Health & Services Washington | |
|
3200 Providence Dr Anchorage AK 99508-4615 | |
| (907) 212-6002 | |
| (907) 212-8340 |
| Full Name | Providence Health & Services Washington |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3200 Providence Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health & Services Washington Po Box 4105 Portland OR 97208-4105 Ph: (866) 907-1068 | Providence Health & Services Washington 3200 Providence Dr Anchorage AK 99508-4615 Ph: (907) 212-6002 |
| NPI Number | 1841814795 |
|---|---|
| Provider Enumeration Date | 06/05/2020 |
| Last Update Date | 06/05/2020 |
| Certification Date | 06/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841814795 | NPI | - | NPPES |
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