| Cpd | |
|
1410 Rudakof Cir Anchorage AK 99508-3106 | |
| (907) 646-0707 | |
| (907) 600-5124 |
| Full Name | Cpd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1410 Rudakof Cir, Anchorage, Alaska |
| Authorized Official Name and Position | Loretta Rowley-sipple (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9076460707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpd 1410 Rudakof Cir Anchorage AK 99508-3106 Ph: (907) 646-0707 | Cpd 1410 Rudakof Cir Anchorage AK 99508-3106 Ph: (907) 646-0707 |
| NPI Number | 1194859850 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194859850 | NPI | - | NPPES |
| HC7089 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 51575D (Alaska) | Primary |
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