Bh 115- Child & Family Outpatient Services (east) | |
3000 C St Ste 115 Anchorage AK 99503-3975 | |
(907) 729-8558 | |
Not Available |
Full Name | Bh 115- Child & Family Outpatient Services (east) |
---|---|
Speciality | Community/behavioral Health |
Location | 3000 C St Ste 115, 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 115- Child & Family Outpatient Services (east) Po Box 35198 Seattle WA 98124-5198 Ph: () - | Bh 115- Child & Family Outpatient Services (east) 3000 C St Ste 115 Anchorage AK 99503-3975 Ph: (907) 729-8558 |
NPI Number | 1588333678 |
---|---|
Provider Enumeration Date | 09/10/2021 |
Last Update Date | 10/13/2023 |
Certification Date | 10/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588333678 | NPI | - | NPPES |
1725111 | Medicaid | AK | |
1727040 | Medicaid | AK | |
1725109 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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