# ANCHORAGE NEIGHBORHOOD HEALTH CENTER INC

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

## Provider details

- **NPI number:** 1811170210
- **Authorized official:** VADETTE FOWLER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (907) 743-7321

## Contact information

- **Practice address:** 4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503-7174
- **Practice address phone:** (907) 743-7200
- **Mailing address:** 4951 BUSINESS PARK BLVD, ANCHORAGE, AK 99503-7174
- **Mailing address phone:** (907) 743-7200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 91963 | AK | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 12/10/2007
- **Last updated:** 04/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1004346 | — | AK |
| 05 | — | 1581033 | — | AK |