Organization
Providence Health & Services Washington
Provider's NPPES record last updated: May 13, 2025
Overview
- Entity Type
- Organization
- NPI
- 1629054374
- Primary Specialty
- General Acute Care Hospital — Critical Access
- Practice Location
- Kodiak, Alaska
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:16 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
General Acute Care Hospital
Critical Access
Hospitals
Definition to come.
Taxonomy code 282NC0060X Pharmacy
Long Term Care Pharmacy
Suppliers
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Taxonomy code 3336L0003X
Provider-Reported License Information
- General Acute Care Hospital (Alaska)
- 285
Practice Locations
Practice Location
1915 E Rezanof Dr
Kodiak, Alaska 99615-6602
Phone: (907) 486-9550
Other Names
- Providence Kodiak Island Medical Center RetailReported May 21, 2009
- Providence Kodiak Island Medical Center RetailReported December 10, 2019
Record Information
- Enumeration Date
- December 15, 2005
- Provider's NPPES Record Last Updated
- May 13, 2025
- Certification Date
- May 13, 2025
- NPISignal NPPES Dataset
- August 2026
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