| Tok Area Mental Health Council, Inc. | |
|
W.1st Street Suite 8 Tok AK 99780-0398 | |
| (907) 883-5106 | |
| (907) 883-5108 |
| Full Name | Tok Area Mental Health Council, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | W.1st Street, Tok, Alaska |
| Authorized Official Name and Position | Ora L Lowery (DIRECTORS) |
| Authorized Official Contact | 9078835855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tok Area Mental Health Council, Inc. Po Box 398 W.1st St Suite 8 Tok AK 99780-0398 Ph: (907) 883-5106 | Tok Area Mental Health Council, Inc. W.1st Street Suite 8 Tok AK 99780-0398 Ph: (907) 883-5106 |
| NPI Number | 1356551063 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356551063 | NPI | - | NPPES |
| MH0285 | Medicaid | AK | |
| TAM84686 | Other | AK | STATE OF AK VENDOR ID # |
| 183290 | Other | AK | ALASKA BUSINESS LICENSE # |
| 20456D | Other | AK | DCCED CBPL AK ENTITY # |
Tanana Chiefs Conference Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: West Willow And C Street, Tok, AK 99780 Phone: 907-452-8251 |