Community Mental Health | |
1825 Marika Rd Fairbanks AK 99709-5521 | |
(907) 474-0890 | |
(907) 474-3621 |
Full Name | Community Mental Health |
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Speciality | Community/behavioral Health |
Location | 1825 Marika Rd, Fairbanks, Alaska |
Authorized Official Name and Position | Allison J Benjamin (FINANCE OFFICER) |
Authorized Official Contact | 9074740890 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Mental Health 1825 Marika Rd Fairbanks AK 99709-5521 Ph: (907) 474-0890 | Community Mental Health 1825 Marika Rd Fairbanks AK 99709-5521 Ph: (907) 474-0890 |
NPI Number | 1417001942 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 10/29/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417001942 | NPI | - | NPPES |
MH3237 | Medicaid | AK | |
DY3237 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | (* (Not Available)) | Secondary |
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