Provider Demographics
NPI:1578584470
Name:ANCHORAGE NEIGHBORHOOD HEALTH CENTER INC.
Entity Type:Organization
Organization Name:ANCHORAGE NEIGHBORHOOD HEALTH CENTER INC.
Other - Org Name:MOUNTAIN VIEW HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-792-6528
Mailing Address - Street 1:PO BOX 201849
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99520-1849
Mailing Address - Country:US
Mailing Address - Phone:907-792-6538
Mailing Address - Fax:907-792-6546
Practice Address - Street 1:3521 MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-1111
Practice Address - Country:US
Practice Address - Phone:907-792-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKRH388FQMedicaid
AKRH388FQMedicaid
021817Medicare Oscar/Certification