PROVIDENCE HEALTH & SERVICES WASHINGTON
PROVIDENCE HEALTH & SERVICES WASHINGTON is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1952430902, based in Kodiak, AK. The organization lists 3 taxonomy classifications, with Emergency Medical Services (Emergency Medicine) Physician recorded as primary.
Getting there
The practice address on file is 1915 E REZANOF DR, Kodiak, AK 99615. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 309115 | AK | Critical Access Hospital |
This provider holds licence 309115 issued in AK. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5799675120
- Enrollment ID
- O20040318000605
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Emergency Medical Services covers
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. NUCC Health Care Provider Taxonomy, code 207PE0004X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician Emergency Medical Services | — | — | primary |
| 208M00000X | Hospitalist Physician | — | — | |
| 282NC0060X | Critical Access Hospital Critical Access | 309115 | AK |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1952430902 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 5, 2007 |
| Last updated | May 13, 2025 |
| Status | Active |
| Practice address |
1915 E REZANOF DR Kodiak, AK 99615 (907) 486-3281 |
| Mailing address |
PO BOX 3706 Portland, OR 97208 |
| Other identifiers |
MDG191
· Medicaid (AK) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 5 | 2 | 4 | 3 | 0 | 9 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 1 | 2 | 8 | 3 | 0 | 9 | 0 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.