Providence Kodiak Island Medical Center – Skilled Nursing Facility, NPI 1982708699

Providence Kodiak Island Medical Center is a healthcare provider. based in Kodiak, Alaska. specializing in Skilled Nursing Facility. The organization holds a License No. 309115 (AK). The NPI Number for Providence Kodiak Island Medical Center is 1982708699

Main info

Organization
Name
Providence Kodiak Island Medical Center
NPI
1982708699
Phone
(907) 486-3281
Address
1915 E REZANOF DR
Authorized Official
DONALD W ANDERSON JR. ASSISTANT SECRETARY OF ENROLLMENTS
Enumeration Date
12 September 2006
Last Update Date
13 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

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Provider Addresses for Providence Kodiak Island Medical Center

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

    KODIAK, AK 996156602

    Phone: (907) 486-3281

    Fax: (907) 486-9546

    Type: Mailing

  • PO BOX 3706

    PORTLAND, OR 972083706

    Phone: (907) 486-3281

    Fax: (907) 486-9546

    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 there an official ID for Providence Kodiak Island Medical Center in U.S. healthcare records?
The official identifier for Providence Kodiak Island Medical Center is NPI 1982708699.
Is there an active status for Providence Kodiak Island Medical Center?
For scheduling context, Providence Kodiak Island Medical Center is shown as active in the registry.
What expertise is attributed to Providence Kodiak Island Medical Center?
Providence Kodiak Island Medical Center's specialty line reads Skilled Nursing Facility. Clinical services aligned with this taxonomy classification.
What locale is associated with Providence Kodiak Island Medical Center?
Directory geography for Providence Kodiak Island Medical Center centers on Kodiak, Alaska.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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