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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
1261QM0855XAdolescent and Children Mental Health Clinic/CenterAK
2320800000XMental Illness Community Based Residential Treatment Facility
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)AK

General Provider Information

NPI Number : 1538281514
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 : 1709 BRAGAW ST
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-3436
Country : US
Telephone Number : 907-562-5340
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : ANNE DENNIS
Credential :
Telephone Number : 907-346-2101
Provider Enumeration Date : 04/03/2007
Last Update Date : 12/16/2022

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