Sud 1115- Detox - Mental Health Clinic in Anchorage, AK

Sud 1115- Detox is a mental health clinic (Community/behavioral Health) in Anchorage, Alaska. The current practice location for Sud 1115- Detox is 4330 Elmore Rd, Anchorage, Alaska. For appointments, you can reach them via phone at (907) 729-6690. The mailing address for Sud 1115- Detox is Po Box 35198, Seattle, Washington and phone number is () -.

Sud 1115- Detox is licensed to practice in * (Not Available) (license number ) and its NPI number is 1750934188. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (907) 729-6690.

Contact Information

Sud 1115- Detox
4330 Elmore Rd
Anchorage
AK 99508-5907
(907) 729-6690
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameSud 1115- Detox
SpecialityCommunity/behavioral Health
Location4330 Elmore Rd, Anchorage, Alaska
Authorized Official Name and PositionRonald Lee Olson (EXECUTIVE VICE PRESIDENT FINANCE)
Authorized Official Contact9077294939
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sud 1115- Detox
Po Box 35198
Seattle
WA 98124-5198

Ph: () -
Sud 1115- Detox
4330 Elmore Rd
Anchorage
AK 99508-5907

Ph: (907) 729-6690

NPI Details:

NPI Number1750934188
Provider Enumeration Date07/24/2019
Last Update Date09/14/2023
Certification Date09/14/2023

Medical Identifiers

Medical identifiers for Sud 1115- Detox such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750934188NPI-NPPES
1696899MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.