| Akeela Inc | |
|
3830 S Cushman St Fairbanks AK 99701-7530 | |
| (907) 565-1200 | |
| (907) 258-6052 |
| Full Name | Akeela Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3830 S Cushman St, Fairbanks, Alaska |
| Authorized Official Name and Position | Courtney Donovan (CEO) |
| Authorized Official Contact | 9074337040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Akeela Inc 360 W Benson Blvd Ste 300 Anchorage AK 99503-3953 Ph: (907) 565-1200 | Akeela Inc 3830 S Cushman St Fairbanks AK 99701-7530 Ph: (907) 565-1200 |
| NPI Number | 1710332713 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710332713 | NPI | - | NPPES |
| 1645883 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 274070 (Alaska) | Primary |
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