| North Slope Borough | |
|
1274 Agviq Street Barrow AK 99723 | |
| (907) 852-0362 | |
| (907) 852-7965 |
| Full Name | North Slope Borough |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1274 Agviq Street, Barrow, Alaska |
| Authorized Official Name and Position | Randy Hoffbeck (CHIEF OF STAFF) |
| Authorized Official Contact | 9078522611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Slope Borough 1274 Agvik Street Barrow AK 99723 Ph: (907) 852-0362 | North Slope Borough 1274 Agviq Street Barrow AK 99723 Ph: (907) 852-0362 |
| NPI Number | 1366517112 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366517112 | NPI | - | NPPES |
| MH2378 | Medicaid | AK | |
| DA2378 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 800203AK (Alaska) | Primary |
Children And Youth Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2000 Ahkovak St, Barrow, AK 99723 Phone: 907-852-0467 Fax: 907-852-4145 |