| Bsd-anpcc Burt | |
|
4320 Diplomacy Dr Ste 1500 Anchorage AK 99508-5925 | |
| (907) 729-2500 | |
| Not Available |
| Full Name | Bsd-anpcc Burt |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4320 Diplomacy Dr Ste 1500, Anchorage, Alaska |
| Authorized Official Name and Position | Ronald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 9077294939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bsd-anpcc Burt Po Box 35198 Seattle WA 98124-5198 Ph: () - | Bsd-anpcc Burt 4320 Diplomacy Dr Ste 1500 Anchorage AK 99508-5925 Ph: (907) 729-2500 |
| NPI Number | 1124064894 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 08/31/2023 |
| Certification Date | 08/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124064894 | NPI | - | NPPES |
| 1000855 | Medicaid | AK | |
| 1021095 | Medicaid | AK |
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