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Organization
ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES INC.
Active
Organization
ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES INC.
Active
Other names
Alaska Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY EVENSON (REVENUE CYCLE MANAGER)
(907) 261-5317
Entity
Organization
Contact information
Practice address
4120 LAUREL ST, ANCHORAGE, AK 99508-5392
(907) 563-1000
Mailing address
4045 LAKE OTIS PKWY STE 209, ANCHORAGE, AK 99508-5227
(907) 563-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020991
—
AK
Enumeration date
01/27/2023
Last updated
01/27/2023
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