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FAMILY CENTERED SERVICES OF AK NPI 1417001942


NPI Information

NPI: 1417001942
Provider Name: FAMILY CENTERED SERVICES OF AK

Other Name: COMMUNITY MENTAL HEALTH

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1825 MARIKA RD
FAIRBANKS, AK
ZIP 99709
Phone: (907) 474-0890
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FAMILY CENTERED SERVICES OF AK is a community behavioral health in Fairbanks, AK. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. FAMILY CENTERED SERVICES OF AK NPI is 1417001942. The provider is registered as an organization entity type.
The provider Other Name Is Community Mental Health.

The provider's business location address is:

1825 MARIKA RD
FAIRBANKS, AK
ZIP 99709-521
Phone: (907) 474-0890
Fax: (907) 474-3621

The provider's authorized official is Allison J Benjamin .
The authorized official title is Finance Officer and has the following contact phone number (907) 474-0890.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 10/29/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
2251S00000XCommunity/Behavioral HealthYes

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
1DY3237MEDICAIDALASKA
2MH3237MEDICAIDALASKA

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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