NPIMap

Organization Active NPI

City of Valdez

Doing business as Providence Valdez Medical Center

  • Critical Access Hospital Clinic/Center
  • Valdez, AK
National Provider Identifier
1427424282
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
Legal business name
CITY OF VALDEZ
Doing business as
Providence Valdez Medical Center
Practice address
911 Meals Avenue
Valdez, AK 99686-0550
Phone
(907) 835-2249
Fax
(907) 834-1890
NPI assigned
Aug 17, 2015
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald Wayne Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X Primary

Addresses

Primary practice location

911 Meals Avenue
Valdez, AK 99686-0550

Mailing address

PO Box 550
Valdez, AK 99686-0550
Phone (907) 835-2249

Other names 1

  • PROVIDENCE VALDEZ MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160406001911 AK Part B Supplier - Clinic/Group Practice 3577514694 Receives reassigned benefits from 39 practitioners
Practice locations: Valdez, AK

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • City of Valdez

    dba Providence Valdez Medical Center

    • Medicare Defined Swing Bed Hospital Unit
    • Valdez, AK
    • NPI 1336247824

    3577514694

    Same PAC ID
  • City of Valdez

    dba Providence Valdez Medical Center

    • Critical Access Hospital
    • Valdez, AK
    • NPI 1750485488

    3577514694

    Same PAC ID
  • City of Valdez

    dba Providence Valdez Medical Center

    • Skilled Nursing Facility
    • Valdez, AK
    • NPI 1790715928

    3577514694

    Same PAC ID

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2001 Lind Ave SW
Ste 300
Renton, WA 98057

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1427424282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VALDEZ",
            "state": "AK",
            "postal_code": "996860550",
            "telephone_number": "907-835-2249",
            "fax_number": "907-834-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MEALS AVENUE",
            "city": "VALDEZ",
            "state": "AK",
            "postal_code": "996860550",
            "telephone_number": "907-835-2249",
            "fax_number": "907-834-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF VALDEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE VALDEZ MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valdez, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.