| Providence Behavioral Health | |
|
3760 Piper St Ste 1108 Anchorage AK 99508-4683 | |
| (907) 212-6900 | |
| (907) 212-6593 |
| Full Name | Providence Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3760 Piper St Ste 1108, Anchorage, Alaska |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSIST SECRETARY FOR ENROLLMENT) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Behavioral Health Po Box 4105 Portland OR 97208-4105 Ph: (866) 907-1068 | Providence Behavioral Health 3760 Piper St Ste 1108 Anchorage AK 99508-4683 Ph: (907) 212-6900 |
| NPI Number | 1336764836 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 11/03/2021 |
| Certification Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336764836 | NPI | - | NPPES |
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