Bsd- Behavioral Health Trails | |
3000 C St Ste 120 Anchorage AK 99503-3975 | |
(907) 729-8558 | |
Not Available |
Full Name | Bsd- Behavioral Health Trails |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 3000 C St Ste 120, 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- Behavioral Health Trails Po Box 35198 Seattle WA 98124-5198 Ph: () - | Bsd- Behavioral Health Trails 3000 C St Ste 120 Anchorage AK 99503-3975 Ph: (907) 729-8558 |
NPI Number | 1720548035 |
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Provider Enumeration Date | 03/22/2019 |
Last Update Date | 04/19/2024 |
Certification Date | 04/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720548035 | NPI | - | NPPES |
1695859 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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