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FAIRBANKS NATIVE ASSOCIATION NPI 1154594216


NPI Information

NPI: 1154594216
Provider Name: FAIRBANKS NATIVE ASSOCIATION

Doing Business As: RALPH PERDUE CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3100 S CUSHMAN ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 452-6251
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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 1154594216. The provider is registered as an organization entity type.
The provider Is Doing Business As Ralph Perdue Center.

The provider's business location address is:

3100 S CUSHMAN ST
FAIRBANKS, AK
ZIP 99701-516
Phone: (907) 452-6251
Fax: (907) 456-4849

The provider's authorized official is Guy M Patterson .
The authorized official title is Bhs Director and has the following contact phone number (907) 452-6251.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 4/10/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility76821ALASKAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DA4435MEDICAIDALASKA

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

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