Fred Joe is a Mental Health in Nightmute, Alaska. Fred Joe practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Fred Joe is 1891996807. The last update date is 2007-07-09.
Fred Joe's current location address is Nightmute Clinic, Nightmute, Alaska. You can contact this provider via phone number 9076476312 and fax number 9076476945. The mailing address for Fred Joe is Nightmute Clinic, Nightmute, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Joe |
|---|---|
| Address | Nightmute Clinic, Nightmute, Alaska |
| Phone Number | 9076476312 |
| Fax Number | 9076476945 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1891996807 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Nightmute Clinic |
|---|---|
| City | Nightmute |
| State | Alaska (AK) |
| Post Code | 99690 |
| Phone Number | 9076476312 |
| Fax Number | 9076476945 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DA4442 | AK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Fred Joe?
The Fred Joe has been issued the NPI (National Provider Identifier) 1891996807 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Fred Joe is geographically located?
The Fred Joe is physically situated at the following location: Nightmute Clinic, Nightmute, AK, 99690.
What is Fred Joe's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fred Joe is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Fred Joe receive the assignment of its 1891996807 from the Centers for Medicare & Medicaid Services?
The Fred Joe was issued its 1891996807 by the Centers for Medicare & Medicaid Services on 2007-05-29.
As of what date were the details related to Fred Joe most recently updated or revised?
The information pertaining to Fred Joe, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.
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