Providence Adolescent Residential Treatment Program
LBN: Providence Health & Services - Washington
Providence Adolescent Residential Treatment Program is an health care organization with primary practice located at 3210 W 62Nd Ave , Anchorage AK 99502. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty.
Providence Health & Services - Washington can be contacted via phone (907) 212-2040, or through Anderson, Donald W. via phone (425) 525-5392.
Contact Information
Primary practice address
3210 W 62Nd Ave
Anchorage AK 99502
Phone: (907) 212-2040
Fax: (907) 272-2169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | 400157 | Alaska |
Profile Details
| NPI number | 1659483113 |
|---|---|
| LBN Legal business name | Providence Health & Services - Washington |
| DBA Doing business as | Providence Adolescent Residential Treatment Program |
| Authorized official | Anderson, Donald W. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 26th, 2024 - about last year |
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 | 1659483113 | NPPES |
| Alaska | MEDICAID | HS487PI |
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