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NPI Code Detail

MEDICARE: ALASKA CHILDREN'S SERVICES, INC.

MEDICARE: ALASKA CHILDREN'S SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1366914228
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALASKA CHILDREN'S SERVICES, INC.
Provider Business Mailing Address
First Line : 4600 ABBOTT RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-4314
Country : US
Telephone Number : 907-346-2101
Fax Number : 907-348-9230
Provider Business Practice Location Address
First Line : 4600 ABBOTT RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99507-4314
Country : US
Telephone Number : 907-346-2101
Fax Number : 907-348-9230
Authorized Official
Title or Position : PRESIDENT & CEO
Name : ANNE DENNIS
Credential :
Telephone Number : 907-346-2101
Provider Enumeration Date : 12/17/2018
Last Update Date : 12/16/2022

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Directions to “ALASKA CHILDREN'S SERVICES, INC. ” Practice Location

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