NPIMap

Organization Active NPI

City of Seward

Doing business as Providence Seward Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Seward, AK
National Provider Identifier
1649340217
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
CITY OF SEWARD
Doing business as
Providence Seward Medical Center
Practice address
417 1St Ave
Seward, AK 99664-0365
Phone
(907) 224-5205
Fax
(907) 224-7248
NPI assigned
Nov 9, 2006
Last updated
May 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 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
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

417 1St Ave
Seward, AK 99664-0365

Mailing address

PO Box 430
Seward, AK 99664-0430
Phone (907) 224-5205

Other names 1

  • PROVIDENCE SEWARD MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031216000404 AK Part B Supplier - Clinic/Group Practice 2466362280 Receives reassigned benefits from 29 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seward, AK
O20070419000159 AK Part A Provider - Critical Access Hospital 2466362280 Practice locations: Seward, AK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649340217. Details of each certification follow.

Hospital certification: CCN 02Z302

Legal name
CITY OF SEWARD
Doing business as
PROVIDENCE SEWARD MEDICAL CENTER
Organization structure
GovernmentNon-profit
Incorporated
May 15, 1912 in AK
Enrollment address
417 1St Ave
Seward, AK 99664-0365
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

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 Seward

    dba Providence Seward Medical Center

    • Critical Access Hospital
    • Seward, AK
    • NPI 1396858155

    2466362280

    Same PAC ID
  • City of Seward

    dba Providence Seward Mountain Haven

    • Skilled Nursing Facility
    • Seward, AK
    • NPI 1821102757

    2466362280

    Same PAC ID
  • City of Seward

    dba Providence Seward Medical Center

    • Critical Access Hospital
    • Seward, AK
    • NPI 1841372943

    2466362280

    Same PAC ID

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Providence Seward Medical Care Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Diane L Hejna Individual Corporate DirectorBoard Member Jul 1, 2016
Richard S Blair Individual Corporate DirectorBoard Member - Chairman Jul 1, 2016
Marvin O'Quinn Individual Corporate DirectorBoard Member Jan 1, 2024
Linda Buck Individual Corporate DirectorBoard Member Jan 1, 2025
Providence Health & Services - Washington Organization, Renton, WA Non-profit Operational/Managerial Control May 1, 2003 100%
Kathleen Sorensen Individual W-2 Managing EmployeeCity Manager Sep 10, 2023
Mary E Lyons Individual Corporate DirectorBoard Member Jul 1, 2016
Benjamin Carver Individual W-2 Managing EmployeeFinance Executive Sep 9, 2024
James Travis Individual W-2 Managing EmployeeFinancial Executive Mar 30, 2026
Phyllis M Hughes Individual Corporate DirectorBoard of Directors Jan 1, 2014
Rogelio Riojas Individual Corporate DirectorBoard Member Jan 1, 2025
James Martin Individual Corporate OfficerAssistant Treasurer Jan 13, 2023
Charles Wallace Sorenson Individual Corporate DirectorBoard of Directors Jan 1, 2019
Donald Wayne Anderson Individual Corporate OfficerAssistant Secretary of Enrollments Jan 1, 2017
Gregory David Hoffman Individual Corporate OfficerCfo/Treasurer Oct 1, 2020
Isiaah D Crawford Individual Corporate DirectorBoard Member Feb 1, 2012
Helena M Jagielski Individual W-2 Managing EmployeeAd; Feb 15, 2022
Donna Markham Individual Corporate DirectorBoard Member Jan 1, 2024
Michael W Murphy Individual Corporate DirectorBoard of Directors Jan 1, 2020
Mary Beth Kingston Individual Corporate DirectorBoard of Directors Sep 1, 2022
City of Seward Organization, Seward, AK 5% Or Greater Direct Ownership Interest May 1, 2003 100%
Eric D Sprunk Individual Corporate Director Jan 1, 2022
Anna R Newsom Individual Corporate OfficerCorporate Secretary May 13, 2022
Darryl Elmouchi Individual Corporate OfficerPresident/Ceo Apr 1, 2025
Karin Dufault Individual Corporate DirectorBoard Member Jan 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 139

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 139

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1649340217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996640430",
            "telephone_number": "907-224-5205",
            "fax_number": "907-224-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 1ST AVE",
            "city": "SEWARD",
            "state": "AK",
            "postal_code": "996640365",
            "telephone_number": "907-224-5205",
            "fax_number": "907-224-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SEWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "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": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE SEWARD MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seward, AK

Sources for this page

Verify at the official NPI Registry.