| Bh/ Sud 1115-rural Behavioral Health | |
|
999 E Tudor Rd Anchorage AK 99503-6123 | |
| (907) 729-3028 | |
| Not Available |
| Full Name | Bh/ Sud 1115-rural Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 999 E Tudor Rd, 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 |
|---|---|
| Bh/ Sud 1115-rural Behavioral Health Po Box 35198 Seattle WA 98124-5198 Ph: () - | Bh/ Sud 1115-rural Behavioral Health 999 E Tudor Rd Anchorage AK 99503-6123 Ph: (907) 729-3028 |
| NPI Number | 1639722069 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639722069 | NPI | - | NPPES |
| 1696897 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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