| Community Connections | |
|
201 Deermount St Ketchikan AK 99901-6649 | |
| (907) 225-7825 | |
| (907) 225-1541 |
| Full Name | Community Connections |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 201 Deermount St, Ketchikan, Alaska |
| Authorized Official Name and Position | Bess Clark (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9072257825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Connections 201 Deermount St Ketchikan AK 99901-6649 Ph: (907) 225-7825 | Community Connections 201 Deermount St Ketchikan AK 99901-6649 Ph: (907) 225-7825 |
| NPI Number | 1346423415 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 12/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346423415 | NPI | - | NPPES |
| DY3369 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 292852 (Alaska) | Primary |
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