Providence Health And Services - Primary Care in Kodiak, AK

Providence Health And Services is a primary clinic (Clinic/center - Community Health) in Kodiak, Alaska. The current practice location for Providence Health And Services is 717 Rezanof Dr E, Kodiak, Alaska. For appointments, you can reach them via phone at (907) 481-2421. The mailing address for Providence Health And Services is 3431 Antone Way, Kodiak, Alaska and phone number is (907) 481-2421.

Providence Health And Services is licensed to practice in * (Not Available) (license number ) and its NPI number is 1770918732. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (907) 481-2421.

Contact Information

Providence Health And Services
717 Rezanof Dr E
Kodiak
AK 99615-6416
(907) 481-2421
(907) 481-2419

Primary Care Clinic Profile

Full NameProvidence Health And Services
SpecialityClinic/center - Community Health
Location717 Rezanof Dr E, Kodiak, Alaska
Authorized Official Name and PositionDarci J Womack (MENTAL HEALTH REHABILITION AIDE)
Authorized Official Contact9074812421
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Providence Health And Services
3431 Antone Way
Kodiak
AK 99615-7124

Ph: (907) 481-2421
Providence Health And Services
717 Rezanof Dr E
Kodiak
AK 99615-6416

Ph: (907) 481-2421

NPI Details:

NPI Number1770918732
Provider Enumeration Date09/10/2013
Last Update Date09/10/2013

Medical Identifiers

Medical identifiers for Providence Health And Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770918732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (* (Not Available))Primary

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Clinic/Center in Kodiak, AK

Kodiak Area Native Association
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Medicare: Not Enrolled in Medicare
Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-9800    Fax: 907-486-9897
North Pacific Medical Center
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Medicare: Medicare Enrolled
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Phone: 907-486-4183    Fax: 907-486-4233
Kodiak Area Native Association
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Medicare: Not Enrolled in Medicare
Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-9868    Fax: 907-486-9884
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Practice Location: 2975 Mill Bay Rd Ste A, Kodiak, AK 99615
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Kodiak Island Medical Associates Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 1818 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-6065    Fax: 907-486-2248
Kana
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3449 E Rezanof Dr, Kodiak, AK 99615
Phone: 907-486-9800    Fax: 907-486-9898
Rockmore-king Clinic
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Medicare: Not Enrolled in Medicare
Practice Location: Building N46 Cape Sarichef, Kodiak, AK 99619
Phone: 907-487-5757    Fax: 907-487-5360

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