| The Salvation Army, A California Corporation | |
|
1700 A Street Anchorage AK 99501 | |
| (907) 339-3410 | |
| (907) 276-2611 |
| Full Name | The Salvation Army, A California Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1700 A Street, Anchorage, Alaska |
| Authorized Official Name and Position | Peter Pemberton (ALASKA DIVISION, SECRETARY FOR BUSI) |
| Authorized Official Contact | 9073393410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Salvation Army, A California Corporation 143 East 9th Avenue Anchorage AK 99501 Ph: (907) 339-3410 | The Salvation Army, A California Corporation 1700 A Street Anchorage AK 99501 Ph: (907) 339-3410 |
| NPI Number | 1033755798 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033755798 | NPI | - | NPPES |
| 1696787 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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