PROVIDENCE HEALTH & SERVICES WASHINGTON


Address: 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683
Phone: 9075635006

PROVIDENCE HEALTH & SERVICES WASHINGTON (NPI# 1669001582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669001582
Entity Type Organization
Organization Name PROVIDENCE HEALTH & SERVICES WASHINGTON
Practice Address 3760 Piper St Ste Ll139
Anchorage
AK 99508-4683
Mailing Address Po Box 4105
Portland
OR 97208-4105
Practice Telephone 9075635006
Mailing Telephone 9075635006
Enumeration Date 2020-04-02
Last Update Date 2020-04-02
Authorized Official Name DONALD WAYNE ANDERSON (ASST SECRETARY FOR ENROLLMENT)
Authorized Official Telephone 4255255392
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
CRISIS RECOVERY CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1134656135 Providence Health & Services Washington Clinic/Center 1018 Capitol Way S Ste 300, Olympia, WA 98501-1212 2017-05-22
1023550050 Providence Health & Services Washington Psychologist 225 State Ave Ne, Olympia, WA 98501-6951 2016-11-08
1003367863 Providence Health & Services Washington Radiology 4800 College St Se Ste E, Lacey, WA 98503-4389 2016-10-17
1023563897 Providence Health & Services Washington Clinic/Center 1705 Se Meadowbrook Blvd, Suite 2, College Place, WA 99324-1756 2016-08-22
1457721250 Providence Health & Services Washington Clinic/Center 1200 Basich Blvd, Aberdeen, WA 98520-1035 2015-10-06
1902141500 Providence Health & Services Washington Clinical Medical Laboratory 820 S Mcclellan St Ste Ll10, Spokane, WA 99204-2446 2012-12-07
1881907715 Providence Health & Services Washington Internal Medicine 62 W 7th Ave, Spokane, WA 99204-2321 2010-07-20
1073744850 Providence Health & Services Washington Rehabilitation, Substance Use Disorder Unit 2505 Olympic Hwy N., Ste 140, Shelton, WA 98584-2978 2009-07-28
1770714693 Providence Health & Services Washington Rehabilitation, Substance Use Disorder Unit 508 1/2 Eighth Street, Hoquiam, WA 98550-3521 2009-07-28
1033309604 Providence Health & Services Washington Family Medicine 1450 Northwest Lane Se, Lacey, WA 98503-6908 2007-07-30

Office Location

Street Address 3760 PIPER ST STE LL139
City ANCHORAGE
State AK
Zip Code 99508-4683

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942481528 Eileen Davey Social Worker 3760 Piper St Ste Ll139, Anchorage, AK 99508-4682 2007-11-23
1902448590 Jason Neumann Counselor 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 2019-10-15
1740848191 Randee R Shafer Social Worker 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 2019-05-31
1386122364 Teresa R Moll Registered Nurse 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 2018-08-01
1003392341 Shelby Wilson Counselor 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 2018-07-18
1992281331 Rachel M Morris Registered Nurse 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 2018-07-18
1326524760 Raquel Salado Registered Nurse 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 2018-07-18
1336625771 Nelly Ayala Registered Nurse 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 2018-07-18
1437652914 Regina L Montgomery Registered Nurse 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 2018-03-12
1477061943 Alicia R Johnson Counselor 3760 Piper St Ste Ll139, Anchorage, AK 99508-4683 2018-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295235471 Therapy Solutions of Alaska Clinic/Center 3300 C St, Anchorage, AK 99503-3942 2018-02-14
1346369493 The Salvation Army Clitheroe Center Clinic/Center 1015 E. 6th Ave., Anchorage, AK 99501 2007-03-28
1437273000 Cook Inlet Tribal Council, Inc Clinic/Center 3600 San Jeronimo Drive, Anchorage, AK 99508-2869 2007-03-19
1265061279 Providence Health & Services Washington Clinic/Center 3200 Providence Dr, Anchorage, AK 99508-4615 2020-04-02
1467775676 Wisdom Traditions Counseling Services, LLC Clinic/Center 401 W International Airport Rd Ste 17, Anchorage, AK 99518 2010-03-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134373640 Edger Nollner Health Center Clinic/Center 77 Antoski Ave., Galena, AK 99741 2008-11-11
1306969647 Norton Sound Health Corp Clinic/Center 5th and Division, Bhs, Nome, AK 99762 2007-04-10
1679796528 Cook Inlet Council On Alcohol and Drug Abuse Clinic/Center 126 W Pioneer Ave Ste 11, Homer, AK 99603-7564 2007-04-10
1104951615 Railbelt Mental Health Association Clinic/Center 207 East 2nd Street, Nenana, AK 99760 2007-02-23
1396897419 Cook Inlet Council On Alcohol and Drug Abuse Clinic/Center 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 2007-01-17
1598397911 Bartlett Regional Hospital Clinic/Center 3250 Hospital Dr, Juneau, AK 99801-7808 2020-02-05
1962033282 Family Centered Services of Alaska Clinic/Center 1825 Marika Rd, Fairbanks, AK 99709-5521 2020-01-27
1760013080 Family Centered Services of Alaska Clinic/Center 3101 Lathrop St, Fairbanks, AK 99701-7426 2020-01-27
1801306899 True Hope Counseling and Consulting Clinic/Center 1810 S Redwing Cir, Wasilla, AK 99654-9744 2017-10-04
1174792972 Cook Inlet Council On Alcohol and Drug Abuse Clinic/Center 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 2008-02-26
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Competitor

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City ANCHORAGE
Zip Code 99508

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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