- in Anchorage, AK

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is a Substance Abuse Rehabilitation Facility based in Anchorage, Alaska. is licensed to practice in * (Not Available) (license number ) and their current practice location is 4111 Minnesota Dr, Anchorage, Alaska. It can be reached at their office (for appointments etc.) via phone at (907) 565-1200.

NPI number for is 1548479884 and their current mailing address is 4111 Minnesota Dr, Anchorage, Alaska. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1548479884.

Contact Information

4111 Minnesota Dr,
Anchorage, AK 99503-6448
(907) 565-1200
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialitySubstance Abuse Rehabilitation Facility
Location4111 Minnesota Dr, Anchorage, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1548479884
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548479884NPI-NPPES
DA6431MedicaidAK
MH2374MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Primary
171M00000XCase Manager/care Coordinator (* (Not Available))Primary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Primary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder (* (Not Available))Primary
324500000XSubstance Abuse Rehabilitation Facility (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

4111 Minnesota Dr,
Anchorage, AK 99503-6448

Ph: (907) 565-1200
4111 Minnesota Dr,
Anchorage, AK 99503-6448

Ph: (907) 565-1200

Reviews and Comments



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