FAIRBANKS NATIVE ASSOCIATION NPI 1134764913

NPI Information

  • NPI: 1134764913
  • Provider Name: FAIRBANKS NATIVE ASSOCIATION
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 650 YOUNKER CT
    FAIRBANKS, AK
    ZIP 99701
  • Phone: (907) 456-1053

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NPI Details

FAIRBANKS NATIVE ASSOCIATION is a substance abuse rehabilitation facility in Fairbanks, AK. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. FAIRBANKS NATIVE ASSOCIATION NPI is 1134764913. The provider is registered as an organization entity type.

The provider's business location address is:

650 YOUNKER CT
FAIRBANKS, AK
ZIP 99701-586
Phone: (907) 456-1053
Fax: (907) 452-1001

The provider's authorized official is Perry Ahsogeak .
The authorized official title is Behavioral Health Director and has the following contact phone number (907) 452-6251.

The enumeration date for this NPI number is 11/15/2019 and was last updated on 11/15/2019.

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
1324500000XSubstance Abuse Rehabilitation FacilityYes

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
11696799MEDICAIDALASKA

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: 11/21/2025

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