340B Drug Pricing Program Database

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Effective Sunday, September 1, OPA is implementing a change to the export format for Medicaid and NPI numbers. This change affects covered entity exports that include Medicaid and/or NPI billing numbers, and the CE Daily Report in Excel format. If the number is associated with more than one state, all the states will be listed between one set of parentheses following the number - for example, 1275575227 (IN,MI,OH). This change is necessary to ensure that the exported data does not exceed Excel’s limit for field length.

CAH021306-00 PROVIDENCE KODIAK ISLAND MEDICAL CENTER (Active)

Main Details
PROVIDENCE KODIAK ISLAND MEDICAL CENTER
Critical Access Hospital
Yes
CAH021306-00
021306


Additional Details
Active
11/16/2010
1/1/2011
11/16/2010
8/13/2024

Contacts

Providence Kodiak Island Medical Center
Karl E Hertz, Administrator
(907) 486-9567

Providence Kodiak Island Medical Center
John arthur McEntee, Manager Pharmacy Services
(907) 486-9549

Addresses

1915 E REZANOF DRIVE
KODIAK, AK 99615

Same as Street Address


  • Comments
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  • History
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2/28/12 -Removed Medicaid # (was PH4793) 2/23/2011- REMOVED MA # (WAS NPI#1629054374 - (AR))03/28/2012
2/23/2011- REMOVED MA # (WAS NPI#1629054374 - (AR))02/23/2011
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