NORTH COUNTRY MEDICAL LLC NPI 1790236578

NPI Information

NORTH COUNTRY MEDICAL, LLC 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. NORTH COUNTRY MEDICAL, LLC NPI is 1790236578. The provider is registered as an organization entity type.

The provider's business location address is:

626 2ND ST
SUITE 201B
FAIRBANKS, AK
ZIP 99701-466
Phone: (907) 687-0722

The provider's authorized official is Paul Wood Finch .
The authorized official title is Organizer and has the following contact phone number (907) 687-0722.

The CLIA number assigned to this NPI record is 02D2120631 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.

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:

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