OrganizationActive
Foothills Behavioral Health
NPI 1992461420 · Psychiatric/Mental Health Nurse Practitioner · Eagle River, AK
Provider details
- NPI number
- 1992461420
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jason Martin, Owner(208) 360-0288
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
16635 Centerfield Dr Ste 204
Eagle River, AK 99577-7746
Phone: (907) 694-2300
Fax: (907) 694-2330
Approximate (ZIP-level) locationGet directions
Mailing address
16635 Centerfield Dr Ste 204
Eagle River, AK 99577-7746
Registry dates
- Enumerated
- 2021-11-09
- Last updated
- 2021-11-29
- Certified
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.