| Anchorage Community Mental Health Services Inc. | |
|
351 W Parks Hwy Ste 200 Wasilla AK 99654-6920 | |
| (907) 563-1000 | |
| (907) 375-3142 |
| Full Name | Anchorage Community Mental Health Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 351 W Parks Hwy Ste 200, Wasilla, Alaska |
| Authorized Official Name and Position | Ashley Evenson (REVENUE CYCLE 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. 4045 Lake Otis Pkwy Ste 209 Anchorage AK 99508-5227 Ph: (907) 563-1000 | Anchorage Community Mental Health Services Inc. 351 W Parks Hwy Ste 200 Wasilla AK 99654-6920 Ph: (907) 563-1000 |
| NPI Number | 1215642798 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215642798 | NPI | - | NPPES |
| 1020991 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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