Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVIDENCE KODIAK MEDICAL CENTER
Active OrganizationPROVIDENCE KODIAK MEDICAL CENTER is a Assisted Living Facility organization located in KODIAK, Alaska. NPI 1306147434 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · KODIAK, AK
Registration Details
- NPI Number
- 1306147434
- Provider Type
- Organization
- NPI Issued
- Nov 5, 2010 (15.790990589484 yrs)
- Last Updated
- May 15, 2025
- License
-
31478 (AK)
Practice Information
- Address
-
1915 E REZANOF DRKODIAK, AK, 996156602Browse AK providers · Browse ZIP 99615
- Phone
- 9074863281
- Fax
- 9074812497
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.