Providence Health & Services Washington
NPI 1366658858ActiveOrganization· Nursing Facility/Intermediate Care Facility· Kodiak, AK
Nursing Facility/Intermediate Care Facility in Kodiak, Alaska, registered in NPPES in May 2007. The authorized official on file is Donald W. Anderson, Assistant Secretary Of Enrollments.
Overview
| NPI | 1366658858 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 14, 2007 |
| Last updated in NPPES | Nov 6, 2026 |
| Certified by provider | Nov 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | 309115 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|