PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1790889400
Skilled Nursing Facility in Kodiak, AK
NPI Status: Active since September 12, 2006
Contact Information
1915 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 486-3281
Fax: (907) 486-9546
- Organization
- Skilled Nursing Facility
About PROVIDENCE HEALTH & SERVICES WASHINGTON
This page provides the complete NPI Profile along with additional information for Providence Health & Services Washington, a provider established in Kodiak, Alaska operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1790889400 assigned on September 2006. The practitioner's primary taxonomy code is 314000000X with license number 309115 (AK). The provider is registered as an organization and their NPI record was last updated May 2025. The provider's
- NPI
- 1790889400
- Provider Legal Name
- PROVIDENCE HEALTH & SERVICES WASHINGTON
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1915 E REZANOF DR KODIAK, AK 99615
- Location Phone
- (907) 486-3281
- Location Fax
- (907) 486-9546
- Mailing Address
- PO BOX 3706 PORTLAND, OR 97208
- Mailing Phone
- (907) 486-3281
- Mailing Fax
- (907) 486-9546
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-12-2006
- Last Update Date
- 05-13-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 309115
- License State
- AK
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| HS10SB | MEDICAID (05) | AK |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 8 | 8 | 9 | 4 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 16 | 8 | 18 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 6 + 8 + 1 + 8 + 4 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1790889400 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164498143 | CYNTHIA M PARENT Individual | Nurse Anesthetist, Certified Registered | 1915 E REZANOF DR KODIAK, AK 99615 (907) 223-7513 |
| 1225077266 | RHONDA A HAYHURST MNT Individual | Dietitian, Registered | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-3281 |
| 1447360466 | HEATHER MARY PREECE MHSC, RD, LD Individual | Dietitian, Registered (Nutrition, Pediatric) | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-3281 |
| 1891978805 | JUDY ROGERS RN Individual | Registered Nurse (Home Health) | 1915 E REZANOF DR KODIAK, AK 99615 (907) 481-2490 |
| 1164605986 | MRS. STEPHANIE MATHIS LOWDERMILK RN, BS, BLSI Individual | Home Health | 1915 E REZANOF DR KODIAK, AK 99615 (907) 481-2457 |
| 1073796892 | MRS. ANN-MARIE WEST RN Individual | Home Health | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-9545 |
| 1285899021 | KODIAK DIAGNOSTIC IMAGING, PROFESSIONAL CORPORATION Organization | Radiology (Diagnostic Radiology) | 1915 E REZANOF DR KODIAK, AK 99615 (907) 539-8997 |
| 1497903769 | RONDA HOLCOMBE RN Individual | Registered Nurse (Home Health) | 1915 E REZANOF DR KODIAK, AK 99615 (907) 481-2490 |
| 1982852158 | MS. VICKI J MAYHALL RN Individual | Registered Nurse (Home Health) | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-9545 |
| 1851527832 | AURORA BOREALIS RADIOLOGY, PC Organization | Radiology (Diagnostic Radiology) | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-9581 |
| 1437463601 | MS. LOUISA GAYLE SOLESBEE RN Individual | Registered Nurse (Diabetes Educator) | 1915 E REZANOF DR KODIAK, AK 99615 (907) 481-2478 |
| 1295032910 | KODIAK BOARD CERTIFIED RADIOLOGY, LLC Organization | Radiology (Diagnostic Radiology) | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-9581 |
| 1235421132 | MONIQUE PATRICIA RECKNER RN Individual | Registered Nurse | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-3281 |
| 1508150384 | DIANA BASH RN Individual | Registered Nurse | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-3281 |
| 1023034139 | GENE L ROBINSON MD Individual | Surgery | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-9580 |
| 1144666918 | MR. JOHN ARTHUR MCENTEE RPH Individual | Pharmacist | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-9549 |
| 1639555840 | AURORA CRYE Individual | Pharmacist | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-9551 |
| 1083125355 | KODIAK LIFE DIAGNOSTIC IMAGING, INC Organization | Clinic/Center (Radiology) | 1915 E REZANOF DR KODIAK, AK 99615 (907) 512-9559 |
| 1093228348 | DR. STEPHANIE LOUISE HURLEY PHARMD Individual | Pharmacist | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-9550 |
| 1245499003 | DR. WENDELL HAYDEN WILMOTH M.D. Individual | Radiology (Diagnostic Radiology) | 1915 E REZANOF DR KODIAK, AK 99615 (907) 486-9581 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790889400, enumerated in the NPI registry as an "organization" on September 12, 2006
The provider is located at 1915 E Rezanof Dr Kodiak, Ak 99615 and the phone number is (907) 486-3281
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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