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BREAST CANCER DETECTION CENTER OF ALASKA AND CHARITABLE CORPORATION NPI 1487707790


NPI Information

NPI: 1487707790
Provider Name: BREAST CANCER DETECTION CENTER OF ALASKA AND CHARITABLE CORPORATION

Other Name: BCDC

Classification: Clinic/Center - 261QR0206X
Entity Type: Organization

Specialization: Radiology, Mammography

Address:
1905 COWLES ST
FAIRBANKS, AK
ZIP 99701
Phone: (907) 479-3909
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BREAST CANCER DETECTION CENTER OF ALASKA AND CHARITABLE CORPORATION is a radiology and mammography clinic center in Fairbanks, AK. BREAST CANCER DETECTION CENTER OF ALASKA AND CHARITABLE CORPORATION NPI is 1487707790. The provider is registered as an organization entity type.
The provider Other Name Is Bcdc.

The provider's business location address is:

1905 COWLES ST
FAIRBANKS, AK
ZIP 99701-914
Phone: (907) 479-3909
Fax: (907) 479-2215

The provider's authorized official is Odette Butler .
The authorized official title is Executive Director and has the following contact phone number (907) 479-3909.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 10/8/2013.


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
1261QR0207XClinic/CenterRadiology, Mobile Mammography235774ALASKANo
2261QR0206XClinic/CenterRadiology, Mammography235774ALASKAYes

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
1XR5382MEDICAIDALASKA
2K0000WFBMWMEDICARE PINALASKA
3149193OTHERALASKABLUE CROSS

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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