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Contact Information

BOREALIS BEHAVIORAL HEALTH
634 S BAILEY ST
SUITE 207
PALMER, AK99645-6330
 Phone: 907-745-7080
 Fax: 907-745-6263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Marriage & Family Therapist

106H00000X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BOREALIS BEHAVIORAL HEALTH

NPI # 1508121096
LBN Legal business name BOREALIS BEHAVIORAL HEALTH
Authorized official JANA MINER-COLLINS - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2012
Last updated 07/10/2012 - About 14 years ago
Identifiers
AK License # 241
AK License # 77
AK License # 86
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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