PROVIDENCE MEDICAL CENTER (NPI# 1982957015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982957015 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE MEDICAL CENTER |
| Practice Address |
417 First Ave Seward AK 99664-0365 |
| Mailing Address |
Po Box 365 Seward AK 99664-0365 |
| Practice Telephone | 9072245205 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Authorized Official Name | PATRICIA A BEALS (REHAB SUPERVISOR) |
| Authorized Official Telephone | 9072242803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
2310 | AK | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819922 | Providence Medical Center | Pharmacy | 803 Providence Rd Ste 101, Wayne, NE 68787-1590 | 2019-03-04 |
| 1801867494 | Providence Medical Center | General Acute Care Hospital | 1200 Providence Road, Wayne, NE 68787-1212 | 2006-01-31 |
| 1255470092 | Providence Medical Center | Medicare Defined Swing Bed Unit | 1200 Providence Rd, Wayne, NE 68787-1212 | 2007-02-06 |
| 1639218472 | Providence Medical Center | Hospice Care, Community Based | 1200 Providence Rd, Wayne, NE 68787-1212 | 2007-02-06 |
| 1962567354 | Providence Medical Center | Family Medicine | 25 Craig Pl, North Plainfield, NJ 07060-4777 | 2006-12-26 |
| 1003971748 | Providence Medical Center | Home Health | 1200 Providence Rd, Wayne, NE 68787-1212 | 2006-12-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROVIDENCE MEDICAL CENTER | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 |
| System for Award Management (SAM) Entities | PROVIDENCE MEDICAL CENTER, WAYNE, NEBRASKA | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Street Address |
417 FIRST AVE |
| City | SEWARD |
| State | AK |
| Zip Code | 99664-0365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912010059 | Robert Reeg | Family Medicine | 417 First Ave, Seward, AK 99664 | 2006-08-15 |
| 1356772024 | Seward Community Health Center, Inc. | Clinic/Center | 417 First Ave, Seward, AK 99664-2895 | 2013-12-06 |
| 1821341033 | Mary Beth Koster | Occupational Therapist | 417 First Ave, Seward, AK 99664-0365 | 2012-10-25 |
| 1356538748 | Providence Seward Medical Center Drug Room | Pharmacy | 417 First Ave, Seward, AK 99664-0365 | 2007-09-28 |
| 1770700791 | Ann Wright | Registered Nurse | 417 First Ave, Seward, AK 99664-0365 | 2007-04-19 |
| 1912037755 | Patricia A Beals | Physical Therapist | 417 First Ave, Seward, AK 99664 | 2007-03-07 |
| 1841372943 | City of Seward | Anesthesiology | 417 First Ave, Seward, AK 99664 | 2006-10-19 |
| 1912011842 | City of Seward Dba Providence Seward Medical & Care Center | Home Health | 417 First Ave, Seward, AK 99664-0365 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859566 | Benjamin David Sayers I | Behavior Technician | 508 Madison St., Seward, AK 99664 | 2020-10-20 |
| 1497373997 | Hilary Ann Acovak | Behavior Technician | 226 Brownell St., Seward, AK 99664 | 2020-07-10 |
| 1477182368 | Rebecca Snow | Behavior Technician | Seaview Community Services, 302 Railway Avenue, Seward, AK 99664 | 2020-04-03 |
| 1134764996 | Seaview Community Services | Community/Behavioral Health | 1400 Chamberlain St, Seward, AK 99664 | 2019-11-15 |
| 1811544638 | Melissa Sanders | Behavior Technician | 302 Railway, Seward, AK 99664 | 2019-08-26 |
| 1013403708 | Andra Dawn Woodard | Social Worker | 10599 Fox Cir, Seward, AK 99664 | 2018-07-05 |
| 1275020661 | Sarah Brooke Hermann | Massage Therapist | 500 Adams St. Suite 202, Seward, AK 99664 | 2018-04-20 |
| 1902352206 | Lacuna Family Medicine, Inc. | Clinic/Center | 204 4th Ave, Seward, AK 99664 | 2016-08-28 |
| 1992115893 | Carissa Whatmore | Social Worker | 302 Railway Ave., Seward, AK 99664 | 2014-04-30 |
| 1205265345 | Cora Roberts | Dental Therapist | 201 3rd Avenue, Suite 115, Seward, AK 99664 | 2013-11-08 |
| Find all providers in zip 99664 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629011804 | Indiana Rehabilitation Services, LLC | Clinic/Center | 238 Indiana St, Seward, PA 15954-2055 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013445972 | Alaska Premier Assisted Living LLC | Clinic/Center | 4635 E 4th Ave, Anchorage, AK 99508-2218 | 2017-05-23 |
| 1619147881 | A T G Inc | Clinic/Center | 300 E Dimond Blvd Ste 12, Anchorage, AK 99515-1948 | 2008-03-04 |
| 1184678559 | Southcentral Foundation | Clinic/Center | 4130 San Ernesto Ave, Anchorage, AK 99508-2875 | 2006-05-20 |
| 1144274986 | Southcentral Foundation | Clinic/Center | 225 Eagle St, Anchorage, AK 99501-2626 | 2006-05-19 |
| 1619946530 | Select Physical Therapy Holdings Inc | Clinic/Center | 3455 Rewak Drive, Suite 106, Fairbanks, AK 99709 | 2006-03-14 |
| 1699743484 | Select Physical Therapy Holdings Inc | Clinic/Center | 17101 Snowmobile Ln, Suite 202, Eagle River, AK 99577-7043 | 2006-03-09 |
| 1265059174 | Outstanding Therapy Solutions LLC | Clinic/Center | 4300 B St Ste 104, Anchorage, AK 99503-5926 | 2020-06-26 |
| 1548890569 | Select Physical Therapy Holdings Inc | Clinic/Center | 33455 Sterling Highway, Sterling, AK 99672 | 2020-01-17 |
| 1821418948 | Talk Sense | Clinic/Center | 11823 Old Glenn Hwy, 108, Eagle River, AK 99577-7734 | 2014-04-16 |
Please comment or provide details below to improve the information on PROVIDENCE MEDICAL CENTER.
| 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.