NPIMap

Anchorage Community Mental Health Services, Inc

Organization Active NPI Adolescent and Children Mental Health Clinic/Center · Anchorage, AK

NPI 1255938239 · NPPES record last updated Oct 3, 2020

Key facts

NPI
1255938239
Entity type
Organization (NPI type 2)
Primary specialty
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Legal business name
ANCHORAGE COMMUNITY MENTAL HEALTH SERVICES, INC
Practice address
4045 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5227
Phone
(907) 563-1000
NPI assigned
Oct 3, 2020
Organization subpart
No

Authorized official

Name
Ashley Evenson
Title
Billing Manager
Phone
(907) 261-5317

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AK

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040121000942 AK Part B Supplier - Clinic/Group Practice 1052213089 Receives reassigned benefits from 44 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wasilla, AK; Fairbanks, AK; Eielson Afb, AK; Anchorage, AK

National Provider Directory

Tax ID family
Anchorage Com Mental HL (31 organizations share this tax ID)

Locations

4020 Folker St
Ste 209
Anchorage, AK 99508

351 W Parks Hwy
Ste 200
Wasilla, AK 99654

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Yes

Addresses

Primary practice location

4045 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5227

Mailing address

4020 Folker St Ste 209
Anchorage, AK 99508-5321

Other identifiers

IdentifierTypeStateIssuer
1020766MedicaidAK

Other names

  • Alaska Behavioral Health Doing business as

Other providers in Anchorage, AK

All providers in Anchorage, AK · Adolescent and Children Mental Health Clinic/Center in Alaska

Sources for this page

Verify at the official NPI Registry.