BOYS AND GIRLS HOME OF ALASKA NPI 1255631446

NPI Information

  • NPI: 1255631446
  • Provider Name: BOYS AND GIRLS HOME OF ALASKA
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 3101 LATHROP ST
    FAIRBANKS, AK
    ZIP 99701
  • Phone: (712) 293-4700

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NPI Details

BOYS AND GIRLS HOME OF ALASKA is a community based residential treatment facility mental illness in Fairbanks, AK. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. BOYS AND GIRLS HOME OF ALASKA NPI is 1255631446. The provider is registered as an organization entity type.

The provider's business location address is:

3101 LATHROP ST
FAIRBANKS, AK
ZIP 99701-426
Phone: (712) 293-4700
Fax: (712) 293-4800

The provider's authorized official is Richard C Brown .
The authorized official title is Medical Director and has the following contact phone number (712) 293-4700.

The enumeration date for this NPI number is 10/22/2010 and was last updated on 10/22/2010.

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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness513478ALASKAYes

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: 3/30/2025

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