| Family Outreach Center For Understanding Special Needs Inc | |
|
16635 Centerfield Dr Ste 103 Eagle River AK 99577-7745 | |
| (907) 694-6002 | |
| Not Available |
| Full Name | Family Outreach Center For Understanding Special Needs Inc |
|---|---|
| Speciality | Social Worker |
| Location | 16635 Centerfield Dr Ste 103, Eagle River, Alaska |
| Authorized Official Name and Position | Dixi Amidon (QUALITY ASSURANCE) |
| Authorized Official Contact | 9076946002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Outreach Center For Understanding Special Needs Inc 16635 Centerfield Dr Ste 103 Eagle River AK 99577-7745 Ph: (907) 694-6002 | Family Outreach Center For Understanding Special Needs Inc 16635 Centerfield Dr Ste 103 Eagle River AK 99577-7745 Ph: (907) 694-6002 |
| NPI Number | 1376620179 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 2365832425 |
|---|---|
| Medicare Enrollment ID | O20211203000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376620179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Kendra Higgins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407280928 PECOS PAC ID: 9133350192 Enrollment ID: I20140317000504 |
| Provider Name | Kathryn Elizabeth Richardson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447463575 PECOS PAC ID: 9537549787 Enrollment ID: I20220705002880 |
| Provider Name | Emilee Rose Bydlon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992296131 PECOS PAC ID: 4789035973 Enrollment ID: I20240112000116 |
| Provider Name | Audrey K Means |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053929695 PECOS PAC ID: 8729518600 Enrollment ID: I20250206002815 |
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