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FAIRBANKS NATIVE ASSOCIATION NPI 1508401381


NPI Information

NPI: 1508401381
Provider Name: FAIRBANKS NATIVE ASSOCIATION
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 1508401381. The provider is registered as an organization entity type.

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 Perry Ahsogeak .
The authorized official title is Behavioral Health Director and has the following contact phone number (907) 452-6251.

The enumeration date for this NPI number is 11/15/2019 and was last updated on 11/15/2019.


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 FacilityYes

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
11696809MEDICAIDALASKA

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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