RESTORE INCORPORATED NPI 1134588528

NPI Information

NPI: 1134588528
Provider Name: RESTORE INCORPORATED
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
542 4TH AVE STE B101
FAIRBANKS, AK
ZIP 99701
Phone: (907) 374-1097
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RESTORE INCORPORATED is a rehabilitation and substance use disorder clinic center in Fairbanks, AK. RESTORE INCORPORATED NPI is 1134588528. The provider is registered as an organization entity type.

The provider's business location address is:

542 4TH AVE STE B101
FAIRBANKS, AK
ZIP 99701-707
Phone: (907) 374-1097
Fax: (907) 374-1062

The provider's authorized official is Shelissa Thomas .
The authorized official title is Director and has the following contact phone number (907) 374-1097.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 8/24/2021.

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	251B00000X	Case Management				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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: 11/14/2023

NPI Synchronization or Removal

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