Mary Conrad Center

LBN: Providence Health System - Washington
Mary Conrad Center is an health care organization with primary practice located at 9100 Centennial Cir , Anchorage AK 99504-1480. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Providence Health System - Washington can be contacted via phone (907) 562-2281, or through Parrish, Eugene A via phone (907) 261-3082.

Contact Information

Primary practice address
9100 Centennial Cir Anchorage AK 99504-1480
Fax: (907) 762-0266
Website:
Authorized official contact:
Name: Parrish, Eugene A

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NOT NUMBERED Alaska

Profile Details

NPI number 1285729087
LBN Legal business name Providence Health System - Washington
DBA Doing business as Mary Conrad Center
Authorized official Parrish, Eugene A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285729087 NPPES
Alaska MEDICAID MDG315

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