| Anchorage Community Mental Health Services, Inc | |
|
4045 Lake Otis Pkwy Ste 101 Anchorage AK 99508-5227 | |
| (907) 563-1000 | |
| Not Available |
| Full Name | Anchorage Community Mental Health Services, Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4045 Lake Otis Pkwy Ste 101, Anchorage, Alaska |
| Authorized Official Name and Position | Ashley Evenson (BILLING MANAGER) |
| Authorized Official Contact | 9072615317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anchorage Community Mental Health Services, Inc 4020 Folker St Ste 209 Anchorage AK 99508-5321 Ph: () - | Anchorage Community Mental Health Services, Inc 4045 Lake Otis Pkwy Ste 101 Anchorage AK 99508-5227 Ph: (907) 563-1000 |
| NPI Number | 1255938239 |
|---|---|
| Provider Enumeration Date | 10/03/2020 |
| Last Update Date | 10/03/2020 |
| Certification Date | 10/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255938239 | NPI | - | NPPES |
| 1020766 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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