Providence Kodiak Medical Center
Providence Kodiak Medical Center is an Adult Care Home Facility in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2010.
- Licensed in
- AK
- In the registry since
- 2010
Practice location Address checks out
1915 E Rezanof DrKodiak, AK 99615-6602
Phone: (907) 486-3281
Fax: (907) 481-2497
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 31478 (AK) |
|---|
Record details
| NPI number | 1306147434 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary Of Enrollments · (425) 358-9786 |
| NPI enumerated | November 5, 2010 |
| Last updated in NPPES | May 15, 2025 |
| Certification date | May 15, 2025 |
| Mailing address | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 |
Clinicians affiliated with this facility
- Alana Branson, PA Naturopath · Kodiak, AK
- Paige Buer, PA-C Physician Assistant · Kodiak, AK
- Dr. Charles Scott Buess, MD Hematology & Oncology Physician · Anchorage, AK
- Stephen Spencer Burnside, MD Internal Medicine Physician · Kodiak, AK
- Erin Parnell Carter, APNP Family Nurse Practitioner · Anchorage, AK
- Mark E Flanum, MD Orthopaedic Surgery of the Spine Physician · Anchorage, AK
- Rabun Samuel Fox Orthopaedic Surgery Physician · Anchorage, AK
- Katie Jane Gray, MD Family Medicine Physician · Asheville, NC
- William Anthony Guerin, MD Student in an Organized Health Care Education/Training Program · Martinez, CA
- Susan Hartmann, PA-C Surgical Physician Assistant · Anchorage, AK
- Chakri Inampudi, MD Diagnostic Radiology Physician · Anchorage, AK
- Steven Y Liu, MD Hematology & Oncology Physician · Anchorage, AK
- Stephanie Rae McQuillin, APRN Family Nurse Practitioner · Wasilla, AK
- Dr. Matthew Raymond Minor, MD Diagnostic Radiology Physician · Anchorage, AK
- Dr. Brittany Linnea O'Steen, MD Diagnostic Radiology Physician · Anchorage, AK
- Dr. Gene R Quinn, MD Internal Medicine Physician · Anchorage, AK
- Inna Robrahn, MD Diagnostic Radiology Physician · Orlando, FL
- Dr. William Louis Sims, MD Surgery Physician · Hobart, OK
- Alan Swenson, MD Orthopaedic Hand Surgery Physician · Anchorage, AK
- Stormie M Thompson, DO Anesthesiology Physician · Anchorage, AK
- Dr. Erwin Tieva, MD General Practice Physician · El Paso, TX
- Dr. Wandal Bryan Winn, MD Diagnostic Radiology Physician · Anchorage, AK
- Yiming Wu, MD, PHD Cardiovascular Disease Physician · Anchorage, AK
- Dr. Gerald Edward York II, MD Diagnostic Neuroimaging (Radiology) Physician · Anchorage, AK