PK
PROVIDENCE KODIAK MEDICAL CENTER
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
KODIAK, AK
Licensed since
2010
Rate
—
Federal identifiers
NPI registry number1306147434
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameDONALD ANDERSON
TitleASSISTANT SECRETARY OF ENROLLMENTS
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