Provider Demographics
NPI:1497842553
Name:STATE OF ALASKA DEPARTMENT OF ADMINISTRATION
Entity Type:Organization
Organization Name:STATE OF ALASKA DEPARTMENT OF ADMINISTRATION
Other - Org Name:ALASKA PSYCHIATRIC INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:E (MELISSA)
Authorized Official - Last Name:RING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:907-269-7100
Mailing Address - Street 1:3700 PIPER ST.
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-269-7100
Mailing Address - Fax:907-269-7251
Practice Address - Street 1:3700 PIPER ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4665
Practice Address - Country:US
Practice Address - Phone:907-269-7100
Practice Address - Fax:907-269-7251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK0000ZBBBBOtherPTAN - MEDICARE PART B NUMBER
AKK0000ZBBBBOtherPTAN - MEDICARE PART B NUMBER