Anchorage Community Mental Health Services, INC
Nurse Practitioner, Primary Care in Fairbanks, AK. Organization (NPI-2).
NPI number1083431688
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1083431688
- Entity type
- Organization (NPI-2)
- Legal business name
- Anchorage Community Mental Health Services, INC
- Organization subpart
- No
- Enumeration date
- Sep 24, 2024
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
Other names
- Alaska Behavioral Health (Doing Business As)
Practice location
1423 Peger RdFairbanks, AK 99709-5169
Phone 907-371-1300 · Fax 907-375-3142
Mailing address
4045 Lake Otis Pkwy Ste 209Anchorage, AK 99508-5227
Phone 907-563-1000 · Fax 907-375-3142
Authorized official
Ashley Evenson
Rcm
9072615317
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