| Nondalton Bsd Clinic | |
|
4501 Diplomacy Dr Anchorage AK 99508-5919 | |
| (907) 729-3300 | |
| Not Available |
| Full Name | Nondalton Bsd Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4501 Diplomacy Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (VP FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nondalton Bsd Clinic 69 Main St Nondalton AK 99640 Ph: (907) 294-2238 | Nondalton Bsd Clinic 4501 Diplomacy Dr Anchorage AK 99508-5919 Ph: (907) 729-3300 |
| NPI Number | 1063871192 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063871192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 20467 (Alaska) | Primary |
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