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PRESBYTERIAN HOSPITALITY HOUSE NPI 1457572299


NPI Information

NPI: 1457572299
Provider Name: PRESBYTERIAN HOSPITALITY HOUSE

Other Name: SILVERBERRY HOME

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
1260 SILVERBERRY DR
FAIRBANKS, AK
ZIP 99712
Phone: (907) 456-6445
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PRESBYTERIAN HOSPITALITY HOUSE is a residential treatment facility emotionally disturbed children in Fairbanks, AK. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. PRESBYTERIAN HOSPITALITY HOUSE NPI is 1457572299. The provider is registered as an organization entity type.
The provider Other Name Is Silverberry Home.

The provider's business location address is:

1260 SILVERBERRY DR
FAIRBANKS, AK
ZIP 99712-736
Phone: (907) 456-6445
Fax: (907) 456-6402

The provider's authorized official is Drenda Tigner .
The authorized official title is Excutive Director and has the following contact phone number (907) 456-6445.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 11/1/2012.


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 ChildrenALASKAYes

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
1MH2770MEDICAIDALASKA

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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