TRUE NORTH RECOVERY INC NPI 1073259636

NPI Information

NPI: 1073259636
Provider Name: TRUE NORTH RECOVERY, INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
4880 OLD AIRPORT RD
FAIRBANKS, AK
ZIP 99709
Phone: (907) 313-1333
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TRUE NORTH RECOVERY, INC is a rehabilitation and substance use disorder clinic center in Fairbanks, AK. TRUE NORTH RECOVERY, INC NPI is 1073259636. The provider is registered as an organization entity type.

The provider's business location address is:

4880 OLD AIRPORT RD
FAIRBANKS, AK
ZIP 99709-456
Phone: (907) 313-1333

The provider's authorized official is Karl Soderstrom .
The authorized official title is Ceo and has the following contact phone number (907) 313-1333.

The enumeration date for this NPI number is 5/6/2022 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1729855	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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