Organization

Providence Health & Services Washington

Substance Use Disorder Rehabilitation Clinic/Center in Anchorage, AK(View on Map)

Legal Business Name

Providence Health & Services Washington

NPI Number

1265061279

NPI Type

Organization

Enumeration Date

04/02/2020

Specialties

(Taxonomies)

Code

261QR0405X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 4048
3200 PROVIDENCE DR

City

Portland
Anchorage

State

OR
AK

Postal Code

97208-4048
99508-4615

Country

US
US

Telephone Number

N/A
(907) 212-6970

Authorized Official

Name

Donald Anderson

Title or Position

ASST SECRETARY FOR ENROLLMENT

Telephone Number

(425) 525-5392

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/02/2020

Provider Address

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Organization

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Organization

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Organization

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Organization

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Organization

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Organization

Community Medical Services Montana-private, Llc

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Specialties: Methadone Clinic (Primary)Addiction (Substance Use Disorder) CounselorCommunity/Behavioral Health AgencyMental Health Clinic/Center (Including Community Mental Health Center)Substance Use Disorder Rehabilitation Clinic/Center

Organization

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