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
—
—
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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