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 |
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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 |
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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 |
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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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