Providence Health & Services Washington

Organization Active
NPI 1952430902
Emergency Medical Services (Emergency Medicine) Physician Kodiak, AK

Providence Health & Services Washington holds NPI 1952430902, with a primary taxonomy of emergency medical services (emergency medicine) physician and a practice location in Kodiak, AK. The number was issued on March 5, 2007 and the NPPES record was last updated on May 13, 2025. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X Not listed
Hospitalist Physician 208M00000X Not listed
Critical Access Hospital 282NC0060X 309115 (AK)

Practice location

1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone: (907) 486-3281

Local context

Active NPPES records list 1 provider with emergency medical services (emergency medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 26 in Alaska and 3,724 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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