City of Valdez
Organization Active NPI Critical Access Hospital · Valdez, AK
NPI 1750485488 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1750485488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- CITY OF VALDEZ
- Practice address
- 911 Meals
Valdez, AK 99686-0550 - Phone
- (907) 835-2249
- Fax
- (907) 834-1890
- NPI assigned
- Sep 12, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CITY OF VALDEZ
Authorized official
- Name
- Donald Wayne Anderson Jr.
- Title
- Assistant Secretary of Enrollments
- Phone
- (425) 358-9786
Owners & managing parties with NPI records 2
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 2
Member of 1
Related certifications (CCN) 1
Facilities with the same owner 139
Practitioners 23
-
John S Cullen, M.D.
-
Amanda J Lowe, MD
-
Kathleen G Todd, M.D.
-
Bradley W Wine, MD
-
Anne M Flint, MD
-
Megan Rayman, M.D.
-
Kenneth Walker Rudd II, MD, MPH, DABFM
-
Christine Marie Kneisel, M.D.
-
Amanda Loomis, PA-C
-
Angela D Alfaro, MD, MS
-
Mosaes Buchanan, RN, CRNA
-
Tara D Lathrop, M.D.
-
Karoly John Dobay III, D.O.
Affiliated clinicians 32
-
John S Cullen, M.D.
-
Tara D Lathrop, M.D.
-
Amanda Loomis, PA-C
-
Amanda J Lowe, MD
-
Erik J Maurer, MD
-
Thomas S Mego, MD
-
Matthew Raymond Minor, M.D.
-
Brittany Linnea O'Steen, M.D.
-
Darren Layne Shirley, M.D.
-
Kathleen G Todd, M.D.
-
Marci L Troxell, DO
-
Bradley W Wine, MD
-
Karoly John Dobay III, D.O.
-
Anne M Flint, MD
Medicare Care Compare: Hospital
- Listed as
- Providence Valdez Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AK
Hospital certification: CCN 021301
- Legal name
- CITY OF VALDEZ
- Doing business as
- PROVIDENCE VALDEZ MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Aug 1, 2000
- Last certification
- Nov 17, 2021
- Beds
- 11
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Incorporated
- Jun 11, 1901 in AK
- Enrollment address
- 911 Meals Ave
Valdez, AK 99686
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Diane L Hejna |
Corporate Director |
Jul 1, 2016 | |
| Richard S Blair |
Corporate Director |
Jul 1, 2016 | |
| Marvin O'Quinn |
Corporate Director |
Jan 1, 2024 | |
| Pauline Doucet |
W-2 Managing Employee |
May 29, 2025 | |
| Linda Buck |
Corporate Director |
Jan 1, 2025 | |
| Providence Health & Services - Washington |
Operational/Managerial Control | Jan 1, 2005 | 100% |
| Mary E Lyons |
Corporate Director |
Jul 1, 2016 | |
| Nathan Duval |
W-2 Managing Employee |
May 6, 2025 | |
| City of Valdez |
5% Or Greater Direct Ownership Interest | Jan 1, 2005 | 100% |
| James Travis |
W-2 Managing Employee |
Mar 30, 2026 | |
| Phyllis M Hughes |
Corporate Director |
Jan 1, 2014 | |
| Rogelio Riojas |
Corporate Director |
Jan 1, 2025 | |
| James Martin |
Corporate Officer |
Jan 13, 2023 | |
| Charles Wallace Sorenson |
Corporate Director |
Jan 1, 2019 | |
| Donald Wayne Anderson |
Corporate Officer |
Jan 1, 2017 | |
| Gregory David Hoffman |
Corporate Officer |
Oct 1, 2020 | |
| Isiaah D Crawford |
Corporate Director |
Feb 1, 2012 | |
| Donna Markham |
Corporate Director |
Jan 1, 2024 | |
| Michael W Murphy |
Corporate Director |
Jan 1, 2020 | |
| Mary Beth Kingston |
Corporate Director |
Sep 1, 2022 | |
| Eric D Sprunk |
Corporate Director |
Jan 1, 2022 | |
| Anna R Newsom |
Corporate Officer |
May 13, 2022 | |
| Darryl Elmouchi |
Corporate Director |
Apr 1, 2025 | |
| Karin Dufault |
Corporate Director |
Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061104000452 | AK | Part a Provider - Critical Access Hospital | 3577514694 |
Receives reassigned benefits from 21 practitioners Practice locations: Valdez, AK |
National Provider Directory
- Tax ID family
- City of Valdez
- Part of
- City of Valdez
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Critical Access Hospital | 282NC0060X | AK | Yes |
Addresses
Primary practice location
911 Meals
Valdez, AK 99686-0550
Mailing address
PO Box 550
Valdez, AK 99686-0550
Phone (907) 835-2249
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HS027OP | Medicaid | AK | |
| HS027IP | Medicaid | AK |
Other names
- PROVIDENCE VALDEZ MEDICAL CENTER
Other providers in Valdez, AK
- Carr-Gottstein Foods Co
- Carr-Gottstein Foods Co
- City of Valdez
- City of Valdez
- City of Valdez
- City of Valdez
- City of Valdez
- City of Valdez
- Coral A Clark
- Dustin E Clark
All providers in Valdez, AK · Critical Access Hospital in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.