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FAIRBANKS NATIVE ASSOCIATION NPI 1578736211


NPI Information

NPI: 1578736211
Provider Name: FAIRBANKS NATIVE ASSOCIATION

Doing Business As: WOMEN AND CHILDREN'S CENTER FOR INNER HEALING

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1027 EVERGREEN ST
FAIRBANKS, AK
ZIP 99709
Phone: (907) 451-8164
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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 1578736211. The provider is registered as an organization entity type.
The provider Is Doing Business As Women And Children's Center For Inner Healing.

The provider's business location address is:

1027 EVERGREEN ST
FAIRBANKS, AK
ZIP 99709-306
Phone: (907) 451-8164
Fax: (907) 456-4849

The provider's authorized official is Perry Ahsogeak .
The authorized official title is Bhs Director and has the following contact phone number (907) 452-6251.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 11/8/2019.


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 Facility76821ALASKAYes

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
11696805MEDICAIDALASKA

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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