Greatland Mental Health, Llc
LBN: Greatland Mental Health, Llc
Greatland Mental Health, Llc is an health care organization with primary practice located at 1407 W 31St Ave Ste 201, Anchorage AK 99503-3678. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Greatland Mental Health, Llc can be contacted via phone (907) 929-4009, or through Ronco, Theresa M via phone (907) 632-7577.
Contact Information
Primary practice address
1407 W 31St Ave Ste 201
Anchorage AK 99503-3678
Phone: (907) 929-4009
Fax: (907) 929-4902
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1477743532 |
|---|---|
| LBN Legal business name | Greatland Mental Health, Llc |
| DBA Doing business as | |
| Authorized official | Ronco, Theresa M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Jul 25th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477743532 | NPPES |
| Alaska | MEDICAID | MH3538 |
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