Provider Demographics
NPI:1366069601
Name:DENALI FAMILY SERVICES
Entity type:Organization
Organization Name:DENALI FAMILY SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:907-274-8281
Mailing Address - Street 1:1251 MULDOON RD STE 116
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-2098
Mailing Address - Country:US
Mailing Address - Phone:907-222-2388
Mailing Address - Fax:
Practice Address - Street 1:1251 MULDOON RD STE 116
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-2098
Practice Address - Country:US
Practice Address - Phone:907-222-2388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENALI FAMILY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-02
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)