NPI | 1982708699 |
---|---|
Doing Business As | PROVIDENCE KODIAK ISLAND MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | MIKE BUTLER SVP CFO 425-525-3362 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AK 309115) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2010-01-26 |