Providence Health & Services Washington
NPI 1790889400ActiveOrganization· Skilled Nursing Facility· Kodiak, AK
Skilled Nursing Facility in Kodiak, Alaska, registered in NPPES in September 2006. The authorized official on file is Donald Wayne Anderson, Assistant Secretary Of Enrollments. Enrolled in Medicare as part a provider - critical access hospital.
Overview
| NPI | 1790889400 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 12, 2006 |
| Last updated in NPPES | May 13, 2025 |
| Certified by provider | May 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 309115 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Critical Access Hospital (AK) |
|---|
Other Skilled Nursing Facility providers in Kodiak
- 1982708699