| Borealis Behavioral Health | |
|
634 S Bailey St Suite 207 Palmer AK 99645-6330 | |
| (907) 745-7080 | |
| (907) 745-6263 |
| Full Name | Borealis Behavioral Health |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 634 S Bailey St, Palmer, Alaska |
| Authorized Official Name and Position | Jana Terese Miner-collins (MEMBER) |
| Authorized Official Contact | 9077457080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Borealis Behavioral Health 634 S Bailey St Suite 207 Palmer AK 99645-6330 Ph: (907) 745-7080 | Borealis Behavioral Health 634 S Bailey St Suite 207 Palmer AK 99645-6330 Ph: (907) 745-7080 |
| NPI Number | 1508121096 |
|---|---|
| Provider Enumeration Date | 07/10/2012 |
| Last Update Date | 07/10/2012 |
| Medicare PECOS PAC ID | 4880831965 |
|---|---|
| Medicare Enrollment ID | O20130508000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508121096 | NPI | - | NPPES |
| Provider Name | Tracy Freer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205992849 PECOS PAC ID: 7517854375 Enrollment ID: I20111114000053 |
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