Providence Kodiak Island Counseling Center

LBN: Providence Kodiak Island Counseling Center
Providence Kodiak Island Counseling Center is an health care organization with primary practice located at 717 E Rezanof Dr , Kodiak AK 99615-6416. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Providence Kodiak Island Counseling Center can be contacted via phone (907) 481-2400, or through Anderson, Donald W via phone (425) 525-5392.

Contact Information

Primary practice address
717 E Rezanof Dr Kodiak AK 99615-6416
Phone: (907) 481-2400
Fax: (907) 481-2419
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Donald W
Phone: (425) 525-5392

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1376141929
LBN Legal business name Providence Kodiak Island Counseling Center
DBA Doing business as
Authorized official Anderson, Donald W
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2020
Last updated Oct 15th, 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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