# STATE OF ALASKA DEPT. HLTH & SOC SERV DIV. PUB HLTH SPECIALTY CLINICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750591822
- **Authorized official:** MS. STEPHANIE BIRCH (WCFH SECTION CHIEF)
- **Authorized official phone:** (907) 269-3400

## Contact information

- **Practice address:** 4701 BUSINESS PARK BLVD, SUITE 20 BLDG J, ANCHORAGE, AK 99503-7123
- **Practice address phone:** (907) 269-3400
- **Practice address fax:** (907) 269-3432
- **Mailing address:** 4701 BUSINESS PARK BLVD, SUITE 20 BLDG J, ANCHORAGE, AK 99503-7123
- **Mailing address phone:** (907) 269-3400
- **Mailing address fax:** (907) 269-3432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | AK | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 07/21/2022