NPIMap

Organization Active NPI

Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
National Provider Identifier
1467547265
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PROVIDENCE HEALTH & SERVICES WASHINGTON
Practice address
3200 Providence Drive
Anchorage, AK 99506-4615
Phone
(907) 212-6522
Fax
(907) 212-6593
NPI assigned
Oct 4, 2006
Organization subpart
Yes
Parent organization
PROVIDENCE ALASKA MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

3200 Providence Drive
Anchorage, AK 99506-4615

Mailing address

PO Box 4105
Portland, OR 97208-4105
Phone (866) 907-1068

Other identifiers 5

IdentifierTypeStateIssuer
0000ZBBBDOtherAKMEDICARE GROUP NUMBER
02-0001OtherAKPTAN
MDG7981MedicaidAK
MDG7982MedicaidAK
MDG798MedicaidAK

Other names 1

  • PROVIDENCE ALASKA 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
O20031110000525 AK Part B Supplier - Clinic/Group Practice 2163335746 Receives reassigned benefits from 70 practitioners
Practice locations: Anchorage, AK

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Part of
Prov Hosp Shared Resour

Locations

3760 Piper St
Ste 1108B
Anchorage, AK 99508
Phone (907) 212-6970

3841 Piper St
Ste T211
Anchorage, AK 99508
Phone (907) 212-2416

3425 E Tudor Rd
Anchorage, AK 99507
Phone (907) 644-8252

3200 Providence Dr
Ste 3030
Anchorage, AK 99508
Phone (907) 212-5630

3801 Lake Otis Pkwy
Ste 200
Anchorage, AK 99508
Phone (907) 212-6900

701 E Tudor Rd
Ste 100
Anchorage, AK 99503
Phone (907) 565-6522

3340 Providence Dr
Ste A351
Anchorage, AK 99508
Phone (907) 212-4800

3200 Providence Dr
Ste A453
Anchorage, AK 99508
Phone (907) 212-7980

4001 Dale St
Anchorage, AK 99508
Phone (907) 550-2350

345 W 104th Ave
Ste 300
Anchorage, AK 99515
Phone (907) 212-7413

4901 A St
Anchorage, AK 99503
Phone (907) 561-8301

6307 Debarr Rd
Ste C
Anchorage, AK 99504
Phone (907) 212-3420

3851 Piper St
Ste U120
Anchorage, AK 99508
Phone (907) 212-2000

3435 E Tudor Rd
Anchorage, AK 99507
Phone (907) 770-7078

17101 Snowmobile Ln
Ste 103
Eagle River, AK 99577
Phone (907) 726-6620

2250 S Woodworth Loop
Ste 103
Palmer, AK 99645
Phone (907) 761-5890

1401 S Seward Meridian Pkwy
Wasilla, AK 99654
Phone (907) 631-3520

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1467547265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084105",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PROVIDENCE DRIVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995064615",
            "telephone_number": "907-212-6522",
            "fax_number": "907-212-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES WASHINGTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE ALASKA MEDICAL CENTER",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0000ZBBBD",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "02-0001",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG7981",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG7982",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MDG798",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE ALASKA MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.