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Providence Health & Services-Washington

Contents

Company Details

Name: Providence Health & Services-Washington
Jurisdiction: Alaska
Legal type: Nonprofit Corporation
Status: Good Standing
Date of registration: 01 Jun 1973 (52 years ago)
Entity Number: 4424F
Place of Formation: WASHINGTON
Address: 1801 LIND AVE. SW, #9016, RENTON, WA 98057

Officers

Name Role
Isiaah Crawford Director
ERIC SPRUNK Director
Charles Sorenson Director
Donald Anderson Assistant Secretary
ANNA NEWSOM Secretary
Erik G. Wexler President
Phyllis Hughes, RSM Director
RICHARD BLAIR Director
DIANE HEJNA Director
James D. Watson Assistant Secretary

Unique Entity ID

Unique Entity ID Expiration Date Physical Address
TWPNCSP4N699 2025-04-12 3760 PIPER ST, STE 2021, ANCHORAGE, AK, 99508, 4683, USA
Mailing Address 1730 MINOR AVE, SUITE 400, SEATTLE, WA, 98101, USA

Business Information
Doing Business As PROVIDENCE ALASKA FOUNDATION
Congressional District 00
State/Country of Incorporation AK, USA
Activation Date 2024-04-16
Initial Registration Date 2023-04-20
Entity Start Date 1983-04-12
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name DOREEN DAWSON-BECKER
Role MANAGER
Address 3345 MICHELSON DRIVE, IRVINE, CA, 92612, USA
Title ALTERNATE POC
Name KATHY PROMMA
Role GRANTS & CONTRACTS COORDINATOR
Address 4805 NE GLISAN ST, PORTLAND, OR, 97213, USA
Government Business
Title PRIMARY POC
Name CHARLIE RESARE
Role SENIOR DIRECTOR, RESEARCH & FINANCE
Address 4805 NE GLISAN ST, PORTLAND, OR, 97213, USA
Title ALTERNATE POC
Name DOREEN DAWSON-BECKER
Role MANAGER
Address 3345 MICHELSON DRIVE, IRVINE, CA, 92612, USA
Past Performance -

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3LWL2 Obsolete Non-Manufacturer 2003-11-18 2022-06-23 2022-06-22 -

Contact Information
POC KERRY HALTER
Phone +1 907-481-2400
Fax +1 907-481-2419
Address 717 E REZANOF DR, KODIAK, KODIAK ISLAND, AK, 99615 6416, UNITED STATES

Ownership of Offeror Information
Highest Level Owner -
Immediate Level Owner -
List of Offerors (0) -

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description
Pharmacy PHAR355 Active 2000-02-26 - 2026-06-30 -
Pharmacy PHAR492 Active 2014-03-20 - 2026-06-30 -
Pharmacy PHAR461 Active 2009-06-02 - 2026-06-30 -
Drug Room PHAG37 Active 2005-05-03 - 2026-06-30 -
Telemedicine Business Registry 126038 Active 2017-08-24 - - -
Telemedicine Business Registry 136523 Active 2018-07-23 - - -
Telemedicine Business Registry 136519 Active 2018-07-23 - - -
Telemedicine Business Registry 136525 Active 2018-07-23 - - -
Telemedicine Business Registry 159865 Active 2020-03-29 - - -
Telemedicine Business Registry 160076 Active 2020-04-01 - - -

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD FA500004P0201 2008-09-30 2008-12-31 2008-12-31
Unique Award Key CONT_AWD_FA500004P0201_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Description
Title OPTION YR 3-HEALTHCARE INFORMATION LINE
NAICS Code 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS
Product and Service Codes S113: TELEPHONE AND-OR COMMUNICATIONS SER

Recipient Details
Recipient PROVIDENCE HEALTH & SERVICES - WASHINGTON
UEI T94DFVJH63C5
Legacy DUNS 083350751
Recipient Address UNITED STATES, 3200 PROVIDENCE DRIVE, ANCHORAGE, 99508
- IDV VA260P00604 2008-01-01 - -
Unique Award Key CONT_IDV_VA260P00604_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NURSING HOME CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient PROVIDENCE HEALTH & SERVICES-WASHINGTON
UEI E453B7SHHZ55
Legacy DUNS 102888997
Recipient Address UNITED STATES, 4900 EAGLE ST, ANCHORAGE, 995037446
PO AWARD HSCG3508P6KK023 2007-11-29 2007-11-29 2007-11-29
Unique Award Key CONT_AWD_HSCG3508P6KK023_7008_-NONE-_-NONE-
Awarding Agency Department of Homeland Security
Link View Page

Description
Title THIS PR IS IN CORRESPONDENCE WITH PROVIDENCE VALDEZ COUNSELING CENTER. THE PO WILL BE PAID TO THE PROVIDENCE HEALTH SYSTEM-WASHINGTON WHICH WILL BE REDIRECTED TO THE VALDEZ CENTER FOR PAYMENT.

Recipient Details
Recipient PROVIDENCE HEALTH & SERVICES-WASHINGTON
UEI E453B7SHHZ55
Legacy DUNS 102888997
Recipient Address UNITED STATES, 4900 EAGLE ST, ANCHORAGE, 995037446
PO AWARD FA500009P0090 2009-09-28 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_FA500009P0090_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Description
Title TRICARE PRIME/NURSE ASSESSMENT LINE
NAICS Code 624190: OTHER INDIVIDUAL AND FAMILY SERVICES
Product and Service Codes R799: OTHER MANAGEMENT SUPPORT SERVICES

Recipient Details
Recipient PROVIDENCE HEALTH & SERVICES - WASHINGTON
UEI T94DFVJH63C5
Legacy DUNS 083350751
Recipient Address UNITED STATES, 3200 PROVIDENCE DR, ANCHORAGE, 995084615
- IDV VA260P00730 2007-01-01 - -
Unique Award Key CONT_IDV_VA260P00730_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NURSING HOME CARE
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient PROVIDENCE HEALTH & SERVICES - WASHINGTON
UEI T94DFVJH63C5
Legacy DUNS 083350751
Recipient Address UNITED STATES, 3200 PROVIDENCE DR, ANCHORAGE, 995084615
- IDV VA260P00601 2010-08-16 - -
Unique Award Key CONT_IDV_VA260P00601_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CNH
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient PROVIDENCE HEALTH & SERVICES - WASHINGTON
UEI T94DFVJH63C5
Legacy DUNS 083350751
Recipient Address UNITED STATES, 3200 PROVIDENCE DR, ANCHORAGE, 995084615
- IDV VA260BO0220 2011-10-01 - -
Unique Award Key CONT_IDV_VA260BO0220_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 0.00

Description
Title NURSING HOME
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient PROVIDENCE HEALTH & SERVICES-WASHINGTON
UEI E453B7SHHZ55
Recipient Address UNITED STATES, 4900 EAGLE ST, ANCHORAGE, ANCHORAGE, ALASKA, 995037446
- IDV VA260BO0215 2011-10-01 - -
Unique Award Key CONT_IDV_VA260BO0215_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 175000.00

Description
Title NURSING HOME
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: NURSING HOME CARE CONTRACTS

Recipient Details
Recipient PROVIDENCE HEALTH & SERVICES-WASHINGTON
UEI TKXEQ6QFNN16
Recipient Address UNITED STATES, 1915 E REZANOF DR, KODIAK, KODIAK ISLAND, ALASKA, 996156602
DELIVERY ORDER AWARD VA26013J0080 2012-09-30 2012-09-30 2012-09-30
Unique Award Key CONT_AWD_VA26013J0080_3600_VA260BO0220_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 486940.92
Current Award Amount 486940.92
Potential Award Amount 486940.92

Description
Title IGF::OT::IGF COMMUNITY NURSING HOME SERVICES. REPORT FY12 COSTS
NAICS Code 623110: NURSING CARE FACILITIES
Product and Service Codes Q402: MEDICAL- NURSING HOME CARE CONTRACTS

Recipient Details
Recipient PROVIDENCE HEALTH & SERVICES-WASHINGTON
UEI E453B7SHHZ55
Recipient Address UNITED STATES, 4900 EAGLE ST, ANCHORAGE, ANCHORAGE, ALASKA, 995037446
- IDV 36C26023D0066 2023-09-29 - -
Unique Award Key CONT_IDV_36C26023D0066_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 750000.00

Description
Title CORRECTION OF IDIQ PRICING DATA
NAICS Code 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product and Service Codes Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES

Recipient Details
Recipient PROVIDENCE HEALTH & SERVICES-WASHINGTON
UEI TKXEQ6QFNN16
Recipient Address UNITED STATES, 1915 E REZANOF DR, KODIAK, KODIAK ISLAND, ALASKA, 996156602

Date of last update: 10 Jan 2025

Sources: State of Alaska - Department of Commerce, Community, and Economic Development

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