| Hart Psychiatry Llc | |
|
851 E Westpoint Dr Ste 302 Wasilla AK 99654-7183 | |
| (907) 433-9902 | |
| Not Available |
| Full Name | Hart Psychiatry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 851 E Westpoint Dr Ste 302, Wasilla, Alaska |
| Authorized Official Name and Position | Laura Crawford (REGISTERED AGENT) |
| Authorized Official Contact | 9074339902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hart Psychiatry Llc 6351 N Bishop Dr Wasilla AK 99654-9042 Ph: (907) 433-9902 | Hart Psychiatry Llc 851 E Westpoint Dr Ste 302 Wasilla AK 99654-7183 Ph: (907) 433-9902 |
| NPI Number | 1265074959 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 10/14/2019 |
| Medicare PECOS PAC ID | 6406223684 |
|---|---|
| Medicare Enrollment ID | O20221031002908 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265074959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Laura Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588163794 PECOS PAC ID: 4688938210 Enrollment ID: I20180508001611 |
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