Providence Kodiak Island Medical Center – Nursing Facility/Intermediate Care Facility, NPI 1366658858

Providence Kodiak Island Medical Center is a healthcare provider. based in Kodiak, Alaska. specializing in Nursing Facility/Intermediate Care Facility. The organization holds a License No. 309115 (AK). The NPI Number for Providence Kodiak Island Medical Center is 1366658858

Main info

Organization
Name
Providence Kodiak Island Medical Center
NPI
1366658858
Phone
(907) 486-3281
Address
1838 CHICHENOF ST
Authorized Official
DONALD W ANDERSON JR. ASSISTANT SECRETARY OF ENROLLMENTS
Enumeration Date
14 May 2007
Last Update Date
15 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Providence Kodiak Island Medical Center

  • 1838 CHICHENOF ST

    KODIAK, AK 996156519

    Phone: (907) 486-3281

    Type: Location

  • East Rezanof Drive, Kodiak, Kodiak Island, Alaska, 99615, United States

    KODIAK, AK 996156602

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99615)

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Reviews

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Frequently asked questions

Is Providence Kodiak Island Medical Center listed with a National Provider Identifier?
Yes — Providence Kodiak Island Medical Center has NPI 1366658858 on file in the registry.
Is Providence Kodiak Island Medical Center shown as active in public data?
Registry records indicate Providence Kodiak Island Medical Center maintains an active NPI.
What clinical focus is listed for Providence Kodiak Island Medical Center?
At a glance, Providence Kodiak Island Medical Center is tied to Nursing Facility/Intermediate Care Facility. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Providence Kodiak Island Medical Center?
Travel planning: use Kodiak, Alaska as the reference point for Providence Kodiak Island Medical Center, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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