| Clitheroe Center Outpatient | |
|
3600 East 20th Avenue Anchorage AK 99508 | |
| (907) 339-3410 | |
| (907) 276-2611 |
| Full Name | Clitheroe Center Outpatient |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3600 East 20th Avenue, 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 |
|---|---|
| Clitheroe Center Outpatient 143 East 9th Avenue Anchorage AK 99501 Ph: (907) 339-3410 | Clitheroe Center Outpatient 3600 East 20th Avenue Anchorage AK 99508 Ph: (907) 339-3410 |
| NPI Number | 1366087108 |
|---|---|
| Provider Enumeration Date | 11/15/2019 |
| Last Update Date | 11/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366087108 | NPI | - | NPPES |
| 1696789 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
News Archive
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