| NPI | 1952430902 |
|---|---|
| Doing Business As | PROVIDENCE KODIAK ISLAND MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Corp Secretary For Enrollments 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Additional Taxonomies | 208M00000X Hospitalist |
| 282NC0060X General Acute Care Hospital, Critical Access (Licence: AK 309115) | |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2019-07-22 |