| Providence Valdez Medical Center | |
|
911 Meals Valdez AK 99686-0550 | |
| (907) 835-2249 | |
| (907) 834-1890 |
| Full Name | Providence Valdez Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 911 Meals, Valdez, Alaska |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Valdez Medical Center Po Box 550 Valdez AK 99686-0550 Ph: (907) 835-2249 | Providence Valdez Medical Center 911 Meals Valdez AK 99686-0550 Ph: (907) 835-2249 |
| NPI Number | 1750485488 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 05/13/2025 |
| Certification Date | 05/13/2025 |
| Medicare PECOS PAC ID | 3577514694 |
|---|---|
| Medicare Enrollment ID | O20061104000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750485488 | NPI | - | NPPES |
| HS027OP | Medicaid | AK | |
| HS027IP | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | (Alaska) | Primary |
| Provider Name | Patrick F Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518901321 PECOS PAC ID: 3971407420 Enrollment ID: I20031125000730 |
| Provider Name | Kathleen G Todd |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639188683 PECOS PAC ID: 8628059557 Enrollment ID: I20040527000004 |
| Provider Name | John S Cullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881781185 PECOS PAC ID: 8325029168 Enrollment ID: I20040527000013 |
| Provider Name | Danita N Koehler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750455150 PECOS PAC ID: 9638193659 Enrollment ID: I20060118000033 |
| Provider Name | Angela D Alfaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942289517 PECOS PAC ID: 8022016054 Enrollment ID: I20090113000327 |
| Provider Name | Anne M Flint |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316056229 PECOS PAC ID: 2264423417 Enrollment ID: I20090508000321 |
| Provider Name | Megan Marie Rayman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356608152 PECOS PAC ID: 9931419660 Enrollment ID: I20151110001459 |
| Provider Name | Mosaes M Buchanan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588951321 PECOS PAC ID: 3577786755 Enrollment ID: I20170420002275 |
| Provider Name | Corina F Hopkins-vacca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073929758 PECOS PAC ID: 6608091749 Enrollment ID: I20170721001590 |
| Provider Name | Patrick C Marvil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235629304 PECOS PAC ID: 7517369556 Enrollment ID: I20210713001884 |
| Provider Name | Edward T Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790043131 PECOS PAC ID: 4082851001 Enrollment ID: I20220727003839 |
| Provider Name | Amanda J Lowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841853835 PECOS PAC ID: 2769718238 Enrollment ID: I20220903000333 |
| Provider Name | Bradley Wine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578126561 PECOS PAC ID: 0648505537 Enrollment ID: I20230324001252 |
| Provider Name | Erin Board |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346620861 PECOS PAC ID: 4688977614 Enrollment ID: I20230814001012 |
| Provider Name | Chase W Gulstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386149391 PECOS PAC ID: 5698001063 Enrollment ID: I20230908000825 |
| Provider Name | Kristin Kinstrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912237504 PECOS PAC ID: 8224219563 Enrollment ID: I20231003003798 |
| Provider Name | John Loomis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356878284 PECOS PAC ID: 4385915354 Enrollment ID: I20240903003663 |
| Provider Name | Christine Kneisel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376711572 PECOS PAC ID: 5496807091 Enrollment ID: I20241108002871 |
| Provider Name | Kenneth Rudd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609029420 PECOS PAC ID: 1153235148 Enrollment ID: I20250430001364 |
| Provider Name | Amanda Loomis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003210030 PECOS PAC ID: 4284116609 Enrollment ID: I20260305000021 |
| Provider Name | Patrick Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992020481 PECOS PAC ID: 4082862172 Enrollment ID: I20260324002067 |
The Alfa Doc LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 154 Fairbanks Drive, Valdez, AK 99686 Phone: 407-928-2983 |
Valdez Medical Clinic,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Meals Ave, Valdez, AK 99686 Phone: 907-835-4811 Fax: 907-835-5162 |
Sound Family Wellness LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 154 Fairbanks Drive, Valdez, AK 99686 Phone: 907-202-2450 |