Organization
THE SALVATION ARMY BOOTH MEMORIAL RESIDENTIAL CHILDCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELANE M KELLY (DIVISIONAL FINANCE DIRECTOR)
(907) 339-3406
Entity
Organization
Contact information
Practice address
3600 E 20TH AVE, ANCHORAGE, AK 99508-3416
(907) 279-0522
Mailing address
143 E 9TH AVE, ANCHORAGE, AK 99501-3618
(907) 339-3406
(907) 276-2611
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
11806
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BR0005
—
AK
Enumeration date
04/13/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us