Providence Valdez Medical Center | |
911 Meals Valdez AK 99686-0550 | |
(907) 835-2249 | |
(907) 834-1890 |
Full Name | Providence Valdez Medical Center |
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Speciality | General Acute Care Hospital |
Location | 911 Meals, Valdez, Alaska |
Authorized Official Name and Position | John Hozey (CITY MANAGER) |
Authorized Official Contact | 9078354313 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Providence Valdez Medical Center Po Box 550 Valdez AK 99686-0550 Ph: (907) 835-2249 | Providence Valdez Medical Center 911 Meals Valdez AK 99686-0550 Ph: (907) 835-2249 |
NPI Number | 1750485488 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 12/07/2012 |
Medicare PECOS PAC ID | 3577514694 |
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Medicare Enrollment ID | O20061104000452 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750485488 | NPI | - | NPPES |
HS027OP | Medicaid | AK | |
HS027IP | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
282NC0060X | General Acute Care Hospital - Critical Access | (Alaska) | Primary |
Provider Name | Kathleen G Todd |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639188683 PECOS PAC ID: 8628059557 Enrollment ID: I20040527000004 |
Provider Name | John S Cullen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881781185 PECOS PAC ID: 8325029168 Enrollment ID: I20040527000013 |
Provider Name | Danita N Koehler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750455150 PECOS PAC ID: 9638193659 Enrollment ID: I20060118000033 |
Provider Name | Angela D Alfaro |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942289517 PECOS PAC ID: 8022016054 Enrollment ID: I20090113000327 |
Provider Name | Kelly E Mitchell |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1184694135 PECOS PAC ID: 7618163346 Enrollment ID: I20150121002314 |
Provider Name | Corina F Hopkins-vacca |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073929758 PECOS PAC ID: 6608091749 Enrollment ID: I20170721001590 |
Provider Name | Gretchen Andrews |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609076488 PECOS PAC ID: 8022201813 Enrollment ID: I20200903001091 |
The Alfa Doc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 154 Fairbanks Drive, Valdez, AK 99686 Phone: 407-928-2983 | |
Valdez Medical Clinic,llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Meals Ave, Valdez, AK 99686 Phone: 907-835-4811 Fax: 907-835-5162 | |
Sound Family Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Fairbanks Drive, Valdez, AK 99686 Phone: 907-202-2450 |