Freedom Behavioral Health Alaska LLC
Psychiatry & Neurology, Psychiatry in Eagle River, AK. Organization (NPI-2).
Details
- NPI
- 1003671348
- Entity type
- Organization (NPI-2)
- Legal business name
- Freedom Behavioral Health Alaska LLC
- Organization subpart
- No
- Enumeration date
- Feb 15, 2024
- Certification date
- Sep 14, 2026
- Last updated
- Sep 14, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
10928 Eagle River Rd Ste 254Eagle River, AK 99577-8080
Phone 907-696-0221 · Fax 877-875-9556
Mailing address
10928 Eagle River Rd Ste 254Eagle River, AK 99577-8080
Phone 907-696-0221 · Fax 877-875-9556
Other practice locations
Fairbanks, AK 99701-7382
Phone 907-328-0581 · Fax 866-738-9486
Anchorage, AK 99508-5235
Phone 905-865-7773 · Fax 866-712-8019
Authorized official
Kerry Brooke Clemetson
Director Of Billing
9134059458
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatry Physician providers in Eagle River, AK
- Eagle River Behavioral HealthNPI 1073307328
- Arom Evans, MDNPI 1417055575
- Kay Zwiacher, LLCNPI 1629391685
- William Alex Lehecka, DONPI 1487883872
All 5 Psychiatry Physician providers in Eagle River · All 934 providers in Eagle River
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