MEDICARE: ANCHORAGE NEIGHBORHOOD HEALTH CENTER 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
1	261QC1500X	Community Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578584470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANCHORAGE NEIGHBORHOOD HEALTH CENTER INC.

Provider Business Mailing Address
First Line	:	PO BOX 201849
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99520-1849
Country	:	US
Telephone Number	:	907-792-6538
Fax Number	:	907-792-6546

Provider Business Practice Location Address
First Line	:	3521 MOUNTAIN VIEW DR
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-1111
Country	:	US
Telephone Number	:	907-792-2300
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOAN L FISHER
Credential	:
Telephone Number	:	907-792-6528

Provider Enumeration Date	:	07/23/2006
Last Update Date	:	05/29/2008

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